MEDICARE: DR. ZACHERY WILLIAMS ROHM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	83045	GA
2	2084N0400X	Neurology Physician	89199	SC
3	2084N0400X	Neurology Physician	ME144850	FL
4	2084N0400X	Neurology Physician	67497	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619362068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZACHERY WILLIAMS ROHM MD

Provider Business Mailing Address
First Line	:	905 15TH ST
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30901-2607
Country	:	US
Telephone Number	:	706-721-4581
Fax Number	:	706-721-6950

Provider Business Practice Location Address
First Line	:	905 15TH ST
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30901-2607
Country	:	US
Telephone Number	:	706-721-4581
Fax Number	:	706-721-6950

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2015
Last Update Date	:	02/09/2026

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