P Praxis·MD
● Active Type 1 · Individual

Marilyn Nichole Moulton Roberts, PA-C

Physician Assistant·Columbus, GA· NPI 1811463490 · Enumerated 2018 · 7 years on NPI
Roberts is 1 of 82 physician assistant providers in Columbus and 1 of 4616 in Georgia.
NPI age
7 years
Enumerated 2018-10-22
Primary specialty
Physician Assistant
Licensed in
AL
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-04-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4616 active physician assistant providers in Georgia.

NPI age
7 years
≈ at median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-10Enumerated in NPPES
2018 2026

Where they practice

Practice location
1210 Brookstone Centre Pkwy
Columbus, GA 319049272
📞 7063221717fax 7063221718
Mailing address
1210 Brookstone Centre Pkwy
Columbus, GA 319049272
📞 7063221717fax 7063221718

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    AL license #1404 taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in Columbus in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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