MARY JON ROBERSON PA
NPI 1437800794
Physician Assistant - Surgical in Douglas, GA

Active since January 18, 2022PECOS EnrolledAccepts Medicare Assignment
100 DOCTORS DR STE I, DOUGLAS, GA 31533(912) 383-6575 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Jon Roberson Pa NPPES

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

MARY JON ROBERSON PA (NPI 1437800794) is an individual surgical provider in Douglas, Georgia and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Coffee Regional Medical Center, Inc, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1437800794
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMARY JON ROBERSONCredential: PA
Location Address100 DOCTORS DR STE IDouglas, GA 31533-2211
Mailing Address1025 Lonnie RdPearson, GA 31642-4933 · (912) 381-9042
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 18, 2022
NPPES CertifiedJanuary 18, 2022
NPI 1437800794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
100 DOCTORS DR STE I, Douglas, GA 31533

Other Names 1

Former Name (1)Mary Jon Gillis

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Jon Roberson Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305231010
PECOS Enrollment IDI20220316000915
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 7

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
380 services66 patients
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.
112 services75 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
80 services66 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
49 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
16 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Coffee Regional Medical Center, Inc

Acute Care Hospitals · Douglas, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110089
Location1101 Ocilla RoadDouglas, GA 31533 · Coffee County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 6

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

Orthopaedic Surgery
100 DOCTORS DR STE I
DOUGLAS, GA 31533
Orthopaedic Surgery
100 DOCTORS DR STE I
DOUGLAS, GA 31533
Nurse Practitioner (Adult Health)
100 DOCTORS DR STE I
DOUGLAS, GA 31533
Nurse Practitioner (Family)
100 DOCTORS DR STE I
DOUGLAS, GA 31533
Orthopaedic Surgery
100 DOCTORS DR STE I
DOUGLAS, GA 31533
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
100 DOCTORS DR STE I
DOUGLAS, GA 31533

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 Mary Roberson's NPI number?

The NPI number for Mary Roberson is 1437800794. It was assigned to this individual provider in the NPPES registry on January 18, 2022. The provider is also known as Mary Jon Gillis.

Where is Mary Roberson located?

Mary Roberson practices at 100 Doctors Dr Ste I, Douglas, GA 31533. The listed phone number is (912) 383-6575.

What is Mary Roberson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Mary Roberson enrolled in Medicare?

Yes. Mary Roberson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Roberson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mary Roberson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mary Roberson affiliated with any hospitals?

According to CMS data, Mary Roberson is affiliated with Coffee Regional Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Mary Roberson was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.