SAMUEL PAUL ROBERTS PA
NPI 1285219477
Physician Assistant - Medical in Cumming, GA

Active since March 10, 2021PECOS Enrolled
90.8/100
CMS Quality Rating
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 290, CUMMING, GA 30040(404) 446-0600(404) 446-0601 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2024, Jun 28, 2024, May 24, 2021 and 1 more (4 updates tracked since 2021).

About Samuel Paul Roberts Pa NPPES

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

SAMUEL PAUL ROBERTS PA (NPI 1285219477) is an individual medical provider in Cumming, Georgia, licensed in Georgia (10401) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285219477
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameSAMUEL PAUL ROBERTSCredential: PA
Location Address4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 290Cumming, GA 30040
Mailing Address4150 Deputy Bill Cantrell Memorial Road, Suite 290Cumming, GA 30040 · (404) 446-0600 · Fax (404) 446-0601
Fax(404) 446-0601
Sole ProprietorNo
Enumeration DateMarch 10, 2021
Last NPPES UpdateJuly 8, 20244 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
NPI 1285219477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in GA · 10401
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, Cumming, GA 30040

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samuel Paul Roberts Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services29 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
35 services12 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
26 services11 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
18 services13 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities20

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.

Audiologist
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, UNIT 260
CUMMING, GA 30040
Urology
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 140B
CUMMING, GA 30040
Behavior Technician
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE T200
CUMMING, GA 30040
Behavior Analyst
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE T200
CUMMING, GA 30040
Plastic Surgery
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 240
CUMMING, GA 30040
Behavior Technician
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD
CUMMING, GA 30040
Behavior Technician
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE T200
CUMMING, GA 30040
Behavior Analyst
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE T200
CUMMING, GA 30040

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 Samuel Roberts's NPI number?

The NPI number for Samuel Roberts is 1285219477. It was assigned to this individual provider in the NPPES registry on March 10, 2021.

Where is Samuel Roberts located?

Samuel Roberts practices at 4150 Deputy Bill Cantrell Memorial Road Suite 290, Cumming, GA 30040. The listed phone number is (404) 446-0600.

What is Samuel Roberts's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Samuel Roberts enrolled in Medicare?

Yes. Samuel Roberts is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Roberts was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.