Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Robert William Roethel, PA

Surgical Physician Assistant in Valdosta, GA · enumerated 2020.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457971921

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Registry record

Entity type Individual (Type 1)

Name Robert William Roethel

Credential PA

Sex Male

Practice address 4340 Kings Way, Valdosta, GA, 31602

Phone (229) 333-9736

Fax (478) 353-1170

Enumeration date Apr 24, 2020

Last updated in NPPES Nov 19, 2020

Taxonomy & licenses

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 9762 (GA) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Robert Roethel practice?

The practice location on file with NPPES is in Valdosta, GA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Robert Roethel?

The National Provider Identifier (NPI) for Robert Roethel is 1457971921, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-19.