ROBERT ALAN PEDERSEN MD
NPI 1932179983
Specialist in Dalton, GA

Q: What is Robert Pedersen's NPI number?

The NPI number for Robert Pedersen is 1932179983. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Q: What is Robert Pedersen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Pedersen was last updated on July 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since January 24, 2006PECOS Enrolled

1505 PROFESSIONAL CT, DALTON, GA 30720(706) 275-6121 Get Directions Write a Review

NPPES record last updated: July 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Robert Alan Pedersen Md NPPES

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

ROBERT ALAN PEDERSEN MD (NPI 1932179983) is an individual specialist in Dalton, Georgia, licensed in Georgia (021783) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932179983

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameROBERT ALAN PEDERSENCredential: MD

Location Address1505 PROFESSIONAL CTDalton, GA 30720-2500

Mailing Address1505 Professional CtDalton, GA 30720-2500 · (706) 275-6121

Phone(706) 275-6121

Sole ProprietorNo

Enumeration DateJanuary 24, 2006

Last NPPES UpdateJuly 24, 2008

✔ NPI 1932179983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in GA · 021783

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1505 PROFESSIONAL CT, Dalton, GA 30720

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Other Identifiers 3

Other406133349GA · Medicare Railroad

Medicare UPIND30432GA

Medicaid000200307DGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Alan Pedersen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

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

ADVANCED FOOT CARE LLP

Podiatrist (Foot & Ankle Surgery)