Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JACQUELYN ELAINE ROBERTS ARNP
NPI 1801880497
Nurse Practitioner - Obstetrics & Gynecology in Moultrie, GA

Active since September 09, 2005
115 31ST AVE SE, MOULTRIE, GA 31768(229) 890-1665(229) 985-5050 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacquelyn Elaine Roberts Arnp NPPES

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

JACQUELYN ELAINE ROBERTS ARNP (NPI 1801880497) is an individual obstetrics & gynecology provider in Moultrie, Georgia, licensed in Georgia (RN128424) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1801880497
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameJACQUELYN ELAINE ROBERTSCredential: ARNP
Location Address115 31ST AVE SEMoultrie, GA 31768-6771
Mailing Address115 31st Ave SeMoultrie, GA 31768-6771 · (229) 890-1665 · Fax (229) 985-5050
Fax(229) 985-5050
Sole ProprietorNo
Enumeration DateSeptember 9, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1801880497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License Licensed in GA · RN128424
115 31ST AVE SE, Moultrie, GA 31768

Other Names 1

Professional Name (2)Jacquelyn Elaine Shaddix

Other Identifiers 1

Medicaid00829617CGA

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Obstetrics & Gynecology)
115 31ST AVE SE
MOULTRIE, GA 31768
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
115 31ST AVE SE
MOULTRIE, GA 31768
Obstetrics & Gynecology
115 31ST AVE SE
MOULTRIE, GA 31768
Nurse Practitioner (Women's Health)
115 31ST AVE SE
MOULTRIE, GA 31768
Nurse Practitioner (Adult Health)
115 31ST AVE SE
MOULTRIE, GA 31768
Nurse Practitioner (Family)
115 31ST AVE SE
MOULTRIE, GA 31768
Nurse Practitioner (Family)
115 31ST AVE SE
MOULTRIE, GA 31768
Urology (Urogynecology and Reconstructive Pelvic Surgery)
115 31ST AVE SE
MOULTRIE, GA 31768

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 Jacquelyn Roberts's NPI number?

The NPI number for Jacquelyn Roberts is 1801880497. It was assigned to this individual provider in the NPPES registry on September 9, 2005. The provider is also known as Jacquelyn Elaine Shaddix.

Where is Jacquelyn Roberts located?

Jacquelyn Roberts practices at 115 31st Ave SE, Moultrie, GA 31768. The listed phone number is (229) 890-1665.

What is Jacquelyn Roberts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Roberts was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.