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ETHAN ROBACK MD
NPI 1891447801
Student in an Organized Health Care Education/Training Program in Columbus, GA

Active since January 20, 2022
2122 MANCHESTER EXPY, COLUMBUS, GA 31904(706) 596-4000 Get Directions Write a Review

NPPES record last updated: April 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2026, Jan 20, 2022 (2 updates tracked since 2022).

About Ethan Roback Md NPPES

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

ETHAN ROBACK MD (NPI 1891447801) is an individual student in an organized health care education/training program in Columbus, Georgia and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1891447801
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN ROBACKCredential: MD
Location Address2122 MANCHESTER EXPYColumbus, GA 31904-6878
Mailing Address2122 Manchester ExpyColumbus, GA 31904-6878
Phone(706) 596-4000
Sole ProprietorNo
Enumeration DateJanuary 20, 2022
Last NPPES UpdateApril 12, 20262 updates tracked since enumeration
NPPES CertifiedApril 12, 2026
✔ NPI 1891447801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2122 MANCHESTER EXPY, Columbus, GA 31904
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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.

MRS. LEIGH ANN YOUNGBLOOD - WEST MSN, NP-C
Registered Nurse
2122 MANCHESTER EXPY
COLUMBUS, GA 31904
Muscogee County (706) 596-4000
ANDREW NORBERT VERNON MD
Internal Medicine (Pulmonary Disease)
2122 MANCHESTER EXPY
COLUMBUS, GA 31904
Muscogee County (706) 320-2773
EUGENIA TARAS PAA
Anesthesiologist Assistant
2122 MANCHESTER EXPY
COLUMBUS, GA 31904
Muscogee County (705) 596-4000
FRANCES FIGUEROA
Pharmacist
2122 MANCHESTER EXPY
COLUMBUS, GA 31904
Muscogee County (706) 888-2290
GABRIELE POLK-SELDON
Nurse Practitioner (Family)
2122 MANCHESTER EXPY
COLUMBUS, GA 31904
Muscogee County (706) 320-2773
SAADIA AKRAM MD
Student in an Organized Health Care Education/Training Program
2122 MANCHESTER EXPY, ATTN: MED STAFFING/GME
COLUMBUS, GA 31904
Muscogee County (706) 596-4000
HANNAH ELIZABETH FLATLEY PA-C
Physician Assistant
2122 MANCHESTER EXPY
COLUMBUS, GA 31904
Muscogee County (706) 596-4000
ST FRANCIS HEALTH LLC
General Acute Care Hospital
2122 MANCHESTER EXPY
COLUMBUS, GA 31904
Muscogee County (706) 596-4000

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 Ethan Roback's NPI number?

The NPI number for Ethan Roback is 1891447801. It was assigned to this individual provider in the NPPES registry on January 20, 2022.

Where is Ethan Roback located?

Ethan Roback practices at 2122 Manchester Expy, Columbus, GA 31904. The listed phone number is (706) 596-4000.

What is Ethan Roback's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ethan Roback was last updated on April 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.