MRS. BEVERLY D. ROSEBERRY APRN
NPI 1801942552
Nurse Practitioner - Women's Health in Conyers, GA

Active since January 26, 2007
1733 LAKE ROCKAWAY RD NW, CONYERS, GA 30012(404) 748-4123(866) 340-9148 Get Directions Write a Review

NPPES record last updated: July 6, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Beverly D. Roseberry Aprn NPPES

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

MRS. BEVERLY D. ROSEBERRY APRN (NPI 1801942552) is an individual women's health provider in Conyers, Georgia, licensed in Georgia (RN065472) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1801942552
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMRS. BEVERLY D. ROSEBERRYCredential: APRN
Location Address1733 LAKE ROCKAWAY RD NWConyers, GA 30012-3152
Mailing AddressPo Box 4715, AtlantaAtlanta, GA 30302-4715 · (404) 748-4123 · Fax (866) 340-9148
Fax(866) 340-9148
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJuly 6, 2009
NPI 1801942552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in GA · RN065472
1733 LAKE ROCKAWAY RD NW, Conyers, GA 30012

Other Identifiers 4

Other10039885GA · Amerigroup
Medicaid000735314CGA
Other319492GA · Wellcare
Other000735314CPeachstate Health Plans

Other Providers at the Same Location NPPES 2

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

Preventive Medicine (Public Health & General Preventive Medicine)
1733 LAKE ROCKAWAY RD NW
CONYERS, GA 30012
Voluntary or Charitable
1733 LAKE ROCKAWAY RD NW
CONYERS, GA 30012

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 Beverly Roseberry's NPI number?

The NPI number for Beverly Roseberry is 1801942552. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Beverly Roseberry located?

Beverly Roseberry practices at 1733 Lake Rockaway Rd NW, Conyers, GA 30012. The listed phone number is (404) 748-4123.

What is Beverly Roseberry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Beverly Roseberry was last updated on July 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.