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WILLIAM DEVON ROOTS (CSFA0 (CST)
NPI 1700690948
Physician Assistant - Surgical in Stockbridge, GA

Active since February 06, 2025
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281(678) 604-1000 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About William Devon Roots (csfa0 (cst) NPPES

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

WILLIAM DEVON ROOTS (CSFA0 (CST) (NPI 1700690948) is an individual surgical provider in Stockbridge, Georgia, licensed in Georgia (200854) and active in the NPI registry since February 2025. He maintains a secondary practice location in Conyers.

NPPES Registry Identity

NPI1700690948
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameWILLIAM DEVON ROOTSCredential: (CSFA0 (CST)
Location Address1133 EAGLES LANDING PKWYStockbridge, GA 30281-5085
Mailing Address2101 Autumn Chase DrStockbridge, GA 30281-9204 · (619) 758-5186
Phone(678) 604-1000
Sole ProprietorNo
Enumeration DateFebruary 6, 2025
NPPES CertifiedFebruary 6, 2025
✔ NPI 1700690948 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
License✔ Licensed in GA · 200854
1133 EAGLES LANDING PKWY, Stockbridge, GA 30281
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Secondary Practice Location 1

Location 11412 Milstead Ave NEConyers, GA 30012-3877 · Phone (770) 918-3000

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.

DR. BRIGITTE VANLE MD
Emergency Medicine
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Henry County (678) 604-1000
JOSHUA A KING MD
Internal Medicine
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Henry County (678) 604-5901
IVANA LESLIE SIMPSON COLEMAN M.D.
Obstetrics & Gynecology
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Henry County (678) 604-1000
JEROD SCOTT BELL RN
Registered Nurse (Administrator)
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Henry County (678) 604-1736
JONATHAN MITCHELL CRNA
Nurse Anesthetist, Certified Registered
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Henry County (678) 604-1053
DEEPA NANKANI M.D
Hospitalist
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Henry County (404) 367-3014
DR. TERRY KY-SIEU TRAN MD
Emergency Medicine
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Henry County (678) 604-1000
DR. SAURABH SINGH M.D
Internal Medicine
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Henry County (404) 367-3014

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 William Roots's NPI number?

The NPI number for William Roots is 1700690948. It was assigned to this individual provider in the NPPES registry on February 6, 2025.

Where is William Roots located?

William Roots practices at 1133 Eagles Landing Pkwy, Stockbridge, GA 30281. The listed phone number is (678) 604-1000.

What is William Roots's specialty?

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

When was this NPI record last updated?

The NPPES record for William Roots was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.