MEDICARE: DR. JANA LISA ROBERTSON AU.D.

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	231H00000X	Audiologist	AUD003926	GA

General Provider Information

NPI Number	:	1982855284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANA LISA ROBERTSON AU.D.

Provider Business Mailing Address
First Line	:	960 JOHNSON FY RD NE STE 144
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1601
Country	:	US
Telephone Number	:	404-924-4510
Fax Number	:

Provider Business Practice Location Address
First Line	:	960 JOHNSON FY RD NE STE 144
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1601
Country	:	US
Telephone Number	:	404-924-4510
Fax Number	:

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

Provider Enumeration Date	:	10/06/2008
Last Update Date	:	10/13/2025

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