Organization
MD BILLING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY A. ROBERSON M.D. (OWNER)
(601) 951-9863
Entity
Organization
Contact information
Practice address
1855 LAKELAND DR, SUITE P231, JACKSON, MS 39216-4913
(601) 951-9863
(601) 487-8897
Mailing address
1855 LAKELAND DR STE P231, JACKSON, MS 39216-4990
(601) 951-9863
(601) 487-8897
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
15474
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009530543
—
MS
01
—
C05127
MEDICARE PTAN
MN
Enumeration date
05/10/2007
Last updated
11/14/2025
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