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Deactivated NPI 1083015408 Deactivated / Inactive NPI Female Practitioner

Arlene Roberson

Contractor • Hiram, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Arlene Roberson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 05, 2014
NPI Deactivation Date March 20, 2019
Total Practice Duration ~5 Years of Practice (2014 – 2019)

Professional Overview & Biography Verified Profile Summary

Arlene Roberson was a registered Contractor practicing in Hiram, GA. Throughout an active medical career spanning 5 years, Arlene Roberson provided care at the practice location at 149 SPUR LN until profile deactivation on 2019-03-20.

Practice Location & Contact Primary Location

Practice Address

149 Spur Ln

Hiram, GA 301412384

Telephone 4046979208

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Hiram, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Hiram, GA (727 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 20, 2019

Record deactivated on March 20, 2019

NPI Profile Active September 05, 2014

NPI status registered as active in NPPES database

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Updated Practice Location September 05, 2014

Registered at 149 SPUR LN, HIRAM, GA 301412384 (Tel: 4046979208)

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Updated Business Mailing Address September 05, 2014

Registered at 149 SPUR LN, HIRAM, GA 301412384 (Tel: 4046979208)

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Provider Name / Credentials Updated September 05, 2014

Recorded as ARLENE ROBERSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2014

Contractor

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Initial NPI Registration & Enumeration September 05, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083015408
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 05, 2014
Last Update: September 05, 2014
Deactivation Date: March 20, 2019

Mailing Address

149 Spur Ln

Hiram, GA 301412384

Phone: 4046979208

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.