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DR. RHETT BERGERON M.D
NPI 1104036854
Family Medicine in Roswell, GA

Active since May 23, 2007Opted out of Medicare · through Aug 29, 2027
555 SUN VALLEY DR, SUITE D, ROSWELL, GA 30076(678) 990-5401(678) 900-5405 Get Directions Write a Review

NPPES record last updated: December 22, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Rhett Bergeron M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RHETT BERGERON M.D (NPI 1104036854) is an individual family medicine provider in Roswell, Georgia, licensed in Georgia (044683) and active in the NPI registry since May 2007. He has opted out of Medicare through August 29, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104036854
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RHETT BERGERONCredential: M.D
Location Address555 SUN VALLEY DR, SUITE DRoswell, GA 30076-5622
Mailing Address555 Sun Valley D, Suite DRoswell, GA 30076-5622 · (678) 990-5401 · Fax (678) 900-5405
Phone(678) 990-5401
Fax(678) 900-5405
Sole ProprietorYes
Enumeration DateMay 23, 2007
Last NPPES UpdateDecember 22, 2010
✔ NPI 1104036854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 044683
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 044683 (GA)
Also ListedPhysical Medicine & Rehabilitation · Neuromuscular MedicineTaxonomy 2081N0008X · License 044683 (GA)
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License 044683 (GA)
Also ListedPreventive Medicine · Undersea and Hyperbaric MedicineTaxonomy 2083P0011X · License 044683 (GA)
Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X · License 044683 (GA)
Also ListedPreventive Medicine · Sports MedicineTaxonomy 2083S0010X · License 044683 (GA)
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License 044683 (GA)
555 SUN VALLEY DR, Roswell, GA 30076
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Other Names 1

Other Name (5)Dr. Rhett L. Bergeron M.d.

Other Identifiers 1

Medicare UPINF89089GA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Rhett Bergeron M.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 29, 2017 through August 29, 2027.

Opt-Out Effective DateAugust 29, 2017
Opt-Out In Effect ThroughAugust 29, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LORI WINDHAM LPC
Counselor (Professional)
555 SUN VALLEY DR, BLDG F SUITE 1A
ROSWELL, GA 30076
Fulton County (770) 998-0989
MS. HELEN DOUTHAT LPC
Counselor (Professional)
555 SUN VALLEY DR, BLDG F- SUITE 1A
ROSWELL, GA 30076
Fulton County (770) 998-0989
DR. WENDY ANN HANEVOLD PH.D.
Psychologist
555 SUN VALLEY DR, SUITE M-1
ROSWELL, GA 30076
Fulton County (404) 325-1614
DR. WILLIAM THOMAS COLLINS DC
Chiropractor
555 SUN VALLEY DR, SUITE A3
ROSWELL, GA 30076
Fulton County (770) 663-8899
MRS. ELIZABETH ALLISON LPC
Counselor (Professional)
555 SUN VALLEY DR, BLDG F - SUITE 1A
ROSWELL, GA 30076
Fulton County (770) 998-0989
MS. VALERIANN BIZON MARSHALL N.P.-C
Nurse Practitioner (Family)
555 SUN VALLEY DR, SUITE D-1
ROSWELL, GA 30076
Fulton County (678) 990-5401
DR. RAYMOND PAUL FOWLER D.C.
Chiropractor
555 SUN VALLEY DR, SUITE G-3
ROSWELL, GA 30076
Fulton County (770) 641-8283
MRS. LINDA KAY MERRION LPC, LMFT
Counselor (Professional)
555 SUN VALLEY DR, L-4
ROSWELL, GA 30076
Fulton County (770) 641-7720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rhett Bergeron's NPI number?

The NPI number for Rhett Bergeron is 1104036854. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Rhett Bergeron located?

Rhett Bergeron practices at 555 Sun Valley Dr Suite D, Roswell, GA 30076. The listed phone number is (678) 990-5401.

What is Rhett Bergeron's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rhett Bergeron enrolled in Medicare?

No. Rhett Bergeron has opted out of Medicare through August 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Rhett Bergeron was last updated on December 22, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.