NPPES file of Aug 9, 2026

Gary Robertson, I.D.C

Medical Physician Assistant · Kings Bay, GA

Gary Robertson, I.D.C is a medical physician assistant with a practice address in Kings Bay, Georgia, and NPI 1790034296, issued on Aug 30, 2012. Check the license with the Georgia board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1790034296
Name
Gary Robertson
Credential
I.D.C
Primary taxonomy
Medical Physician Assistant 363AM0700X
Practice location
1059 Uss Mariano Villejo Ave, Kings Bay, GA 31547
Phone
(912) 573-6599
Enumerated
Aug 30, 2012
Record last updated
Mar 31, 2025
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Verify Gary Robertson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Georgia board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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Gary Robertson among 1,302 medical physician assistant records in Georgia

Gary Robertson, I.D.C is one of 1,302 medical physician assistant records with a practice address in Georgia. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2012, is newer than 54% of them.

  • NPI issued2012 · 54% of these records are older, 41% newer
  • In a Medicare fileNo · 72% of these records are
  • In the CMS Doctors and Clinicians fileNo · 53% of these records are
  • Record last updated2025 · 61% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

2 medical physician assistant records list a practice address in Kings Bay

They are 2 of the 75 NPPES records with a practice address in Kings Bay, and 1,302 medical physician assistant records in Georgia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 medical physician assistant records with the nearest ZIP codes

  1. Micheal Curry, MPAS, PA-CKings Bay, GA 315471184692774
  2. Kyle Deuter, PA-CJesup, GA 315451467475657
  3. Jonathan Kiff, PA-CJesup, GA 315451437188257
  4. Wynne Lott, PA-CHazlehurst, GA 315391811042815
  5. Meredith Brazell, PASaint Marys, GA 315581710396098
  6. Frank Clements, PA-CSaint Marys, GA 315581982679064
  7. Patrick Davidson, PA-CSaint Marys, GA 315581063601839
  8. Gary Dutka, PA-CSaint Marys, GA 315581902871445

Common questions

What is Gary Robertson, I.D.C's NPI number?

Gary Robertson, I.D.C's National Provider Identifier (NPI) is 1790034296, issued on Aug 30, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Gary Robertson, I.D.C located?

The NPPES record lists a practice address at 1059 Uss Mariano Villejo Ave, Kings Bay, GA, 31547. Phone: (912) 573-6599. Providers update this record themselves, so call before visiting.

How can I verify Gary Robertson, I.D.C's license?

Search the Georgia board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.