JACKIE ROBERTS GCADC-II
NPI 1164225058
Counselor - Addiction (Substance Use Disorder) in Gainesville, GA

Active since March 28, 2025
592 MEDICAL PARK DR STE A, GAINESVILLE, GA 30501(770) 503-7721 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jackie Roberts Gcadc-ii NPPES

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

JACKIE ROBERTS GCADC-II (NPI 1164225058) is an individual addiction (substance use disorder) provider in Gainesville, Georgia and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1164225058
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACKIE ROBERTSCredential: GCADC-II
Location Address592 MEDICAL PARK DR STE AGainesville, GA 30501-2055
Mailing Address190 Roberts WayCornelia, GA 30531-5064 · (706) 768-0423
Sole ProprietorNo
Enumeration DateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
✔ NPI 1164225058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
592 MEDICAL PARK DR STE A, Gainesville, GA 30501

Other Providers at the Same Location NPPES 4

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

Substance Abuse Rehabilitation Facility
592 MEDICAL PARK DR STE A
GAINESVILLE, GA 30501
Counselor (Addiction (Substance Use Disorder))
592 MEDICAL PARK DR STE A
GAINESVILLE, GA 30501
Counselor (Addiction (Substance Use Disorder))
592 MEDICAL PARK DR STE A
GAINESVILLE, GA 30501
Counselor (Addiction (Substance Use Disorder))
592 MEDICAL PARK DR STE A
GAINESVILLE, GA 30501

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 Jackie Roberts's NPI number?

The NPI number for Jackie Roberts is 1164225058. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Jackie Roberts located?

Jackie Roberts practices at 592 Medical Park Dr Ste A, Gainesville, GA 30501. The listed phone number is (770) 503-7721.

What is Jackie Roberts's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jackie Roberts was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.