DETRIS LASHALL ROBERSON FNP
NPI 1427931302
Nurse Practitioner - Family in Swainsboro, GA

Q: What is Detris Roberson's NPI number?

The NPI number for Detris Roberson is 1427931302. It was assigned to this individual provider in the NPPES registry on July 29, 2025.

Q: What is Detris Roberson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Detris Roberson was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 29, 2025PECOS Enrolled

215 N COLEMAN ST, SWAINSBORO, GA 30401(263) 847-8237 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Detris Lashall Roberson Fnp NPPES

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

DETRIS LASHALL ROBERSON FNP (NPI 1427931302) is an individual family provider in Swainsboro, Georgia, licensed in Georgia (RN289668) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1427931302

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDETRIS LASHALL ROBERSONCredential: FNP

Location Address215 N COLEMAN STSwainsboro, GA 30401-3530

Mailing Address1686 Idlewood RdWaynesboro, GA 30830-5742 · (706) 871-7737

Phone(263) 847-8237

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 29, 2025

NPPES CertifiedJuly 21, 2025

✔ NPI 1427931302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN289668

215 N COLEMAN ST, Swainsboro, GA 30401

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Detris Lashall Roberson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870099856

PECOS Enrollment IDI20250929003978

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30401 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

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Other Providers at the Same Location NPPES 19

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

CHELSEA HAYMAN DNP, APRN, FNP-BC

Nurse Practitioner (Family)