1. Home
  2. Directory
  3. Georgia
  4. Tifton
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

JOHN WILLIAM ROBERTS II
NPI 1720595457
Nurse Anesthetist, Certified Registered in Tifton, GA

Active since January 03, 2018Accepts Medicare Assignment
901 18TH ST E, TIFTON, GA 31794(229) 382-7120 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John William Roberts Ii NPPES

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

JOHN WILLIAM ROBERTS II (NPI 1720595457) is an individual nurse anesthetist, certified registered in Tifton, Georgia, licensed in Georgia (RN230702) and active in the NPI registry since January 2018. He is affiliated with Coffee Regional Medical Center, Inc and is a graduate of Other (2017).

NPPES Registry Identity

NPI1720595457
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJOHN WILLIAM ROBERTS II
Location Address901 18TH ST ETifton, GA 31794-3648
Mailing Address420 Hansell Sears RdDouglas, GA 31535-5720 · (912) 592-0765
Phone(229) 382-7120
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 3, 2018
Last NPPES UpdateJanuary 17, 2023
NPPES CertifiedJanuary 17, 2023
✔ NPI 1720595457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in GA · RN230702✔ Licensed in NH · 090060-23
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN230702 (GA)
901 18TH ST E, Tifton, GA 31794
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John William Roberts Ii 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 ID3577810662
PECOS Enrollment IDI20180719004116

Medicare Billing Reassignments

5

Medicare enrollment records show John Roberts reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tift Regional Health System Inc
Same address
Clinic/Center
907 18TH ST E, SUITE 140
Tifton, GA 31794
  • Reassigned Medicare billing, Georgia enrollment
  • 337 clinicians in this Medicare group
NPI 1306244090 (229) 353-4325
Irwin County Anesthesia, Inc.
16 mi
Nurse Anesthetist, Certified Registered
710 N IRWIN AVE
Ocilla, GA 31774
  • Reassigned Medicare billing, Georgia enrollment
  • 38 clinicians in this Medicare group
NPI 1275754103 (912) 389-1518
Phoebe Dorminy Family Care
21 mi
Clinic/Center
110 NORMAN DORMINY DR
Fitzgerald, GA 31750
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Physician Group Inc
  • 1,118 clinicians in this Medicare group
NPI 1992084644 (229) 312-5800
Coffee Regional Medical Center, Inc
37 mi
Anesthesiology
1101 OCILLA RD
Douglas, GA 31533
  • Reassigned Medicare billing, Georgia enrollment
  • 72 clinicians in this Medicare group
NPI 1437120946 (912) 384-1900
Campbell County Hospital District
1,460 mi
Family Medicine
131 RED DEVIL DRIVE
Hulett, WY 82720
  • Reassigned Medicare billing, Wyoming enrollment
  • 285 clinicians in this Medicare group
NPI 1750047031 (307) 688-2235

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
15 services15 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31794 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

COLE BURGESS CRNA
Nurse Anesthetist, Certified Registered
901 18TH ST E
TIFTON, GA 31794
Tift County (229) 353-6124
ISRAEL SAUCEDO APRN, FNP-C
Nurse Practitioner (Acute Care)
901 18TH ST E
TIFTON, GA 31794
Tift County (229) 353-7050
JAVERIA NASEER MBBS
Student in an Organized Health Care Education/Training Program
901 18TH ST E
TIFTON, GA 31794
Tift County (229) 382-7120
WILLIAM A GUEST MD
Internal Medicine (Pulmonary Disease)
901 18TH ST E
TIFTON, GA 31794
Tift County (229) 353-3400
JOSE ABANTAO PT
Physical Therapist
901 18TH ST E
TIFTON, GA 31794
Tift County (229) 353-3347
DR. KAMRAN LATEEF MD
Internal Medicine
901 18TH ST E
TIFTON, GA 31794
Tift County (229) 353-6051
HEATH FARMER CRNA
Nurse Anesthetist, Certified Registered
901 18TH ST E
TIFTON, GA 31794
Tift County (229) 353-6124
DAVID RYAN ATKINS APRN-BC
Nurse Practitioner (Family)
901 18TH ST E
TIFTON, GA 31794
Tift County (229) 382-7120

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 John Roberts's NPI number?

The NPI number for John Roberts is 1720595457. It was assigned to this individual provider in the NPPES registry on January 3, 2018.

Where is John Roberts located?

John Roberts practices at 901 18th St E, Tifton, GA 31794. The listed phone number is (229) 382-7120.

What is John Roberts's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is John Roberts enrolled in Medicare?

Yes. John Roberts 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.

Which organizations bill Medicare for John Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Roberts reassigns Medicare benefits to 5 organizations: Tift Regional Health System Inc (Tifton, GA), Irwin County Anesthesia, Inc. (Ocilla, GA), Phoebe Dorminy Family Care (Fitzgerald, GA), Coffee Regional Medical Center, Inc (Douglas, GA) and Campbell County Hospital District (Hulett, WY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Roberts accept?

Health plans from Blue Cross Blue Shield of Wyoming list John Roberts 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 John Roberts affiliated with any hospitals?

According to CMS data, John Roberts is affiliated with Coffee Regional Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for John Roberts was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.