Robert William Roethel, PA
Surgical Physician Assistant · Valdosta, GA
Robert William Roethel, PA is a surgical physician assistant with a practice address in Valdosta, Georgia, and NPI 1457971921, issued on Apr 24, 2020. Check the license (Georgia 9762, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Robert William Roethel
- Credential
- PA
- Primary taxonomy
- Surgical Physician Assistant 363AS0400X
- License number
- 9762 GA
Self-reported in NPPES; status is on the state search - Practice location
- 4340 Kings Way, Valdosta, GA 31602
- Phone
- (229) 333-9736
- Enumerated
- Apr 24, 2020
- Record last updated
- Nov 19, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (478) 353-1170
- Medicare enrollment
- Enrolled (PECOS I20200527002161); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest surgical physician assistant records → All 531 in Georgia → Look up another NPI →
Also registered at 4340 Kings Way
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Brook Bearden, M.D.Orthopaedic Surgery Physician1750446506
- Cynthia Bell, P.T.Physical Therapist1851532055
- Shannon Burton, LAT, ATCAthletic Trainer1073198099
- Aaron Courington, APRNFamily Nurse Practitioner1174715718
- Rachel Cronk, NPNurse Practitioner1134673304
- Susannah Harvell, PA-CSurgical Physician Assistant1598227225
Verify Robert William Roethel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license 9762Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Hughston Clinic PCAdel, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Robert William Roethel among 531 surgical physician assistant records in Georgia
Robert William Roethel, PA is one of 531 surgical physician assistant records with a practice address in Georgia. 63% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 80% of them.
- NPI issued2020 · 80% of these records are older, 16% newer
- In a Medicare fileYes · 63% of these records are
- In the CMS Doctors and Clinicians fileYes · 52% of these records are
- Graduated2020 · median 2014 among the 276 with a school on file
- Record last updated2020 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AS0400X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgical Physician Assistant providers in Georgia
There are 531 surgical physician assistant records in Georgia.
All 531 in Georgia → Every provider in Valdosta → Surgical Physician Assistant nationwide →
The 8 surgical physician assistant records with the nearest ZIP codes
- Susannah Harvell, PA-CValdosta, GA 316021598227225
- William Crook, PA-CSaint Marys, GA 315581265455364
- Cecilia Mook, CST/CSFAJesup, GA 315451467867655
- Joel Hernandez, PA-CDouglas, GA 315331902202468
- Mary Roberson, PADouglas, GA 315331437800794
- Matthew BoothbyBrunswick, GA 315251871828897
- Elizabeth Blair, PA-CBrunswick, GA 315201619344223
- Penny Dilorenzo, CSFAWaycross, GA 315031952992547
Common questions
What is Robert William Roethel, PA's NPI number?
Robert William Roethel, PA's National Provider Identifier (NPI) is 1457971921, issued on Apr 24, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Robert William Roethel, PA located?
The NPPES record lists a practice address at 4340 Kings Way, Valdosta, GA, 31602. Phone: (229) 333-9736. Providers update this record themselves, so call before visiting.
How can I verify Robert William Roethel, PA's license?
NPPES lists Georgia license number 9762, as entered by the provider. 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. Medicare files from data.cms.gov. 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.