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NPISignal

Individual Healthcare Provider

Rhett Bergeron, M.D

NPI Record: ActiveFamily Medicine
NPI1104036854
Roswell, Georgia

Provider's NPPES record last updated: December 22, 2010

Overview

Entity Type
Individual Healthcare Provider
NPI
1104036854
Primary Specialty
Family Medicine
Practice Location
Roswell, Georgia
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 7:11 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Family Medicine

    Allopathic & Osteopathic Physicians

    Primary

    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

    Taxonomy code 207Q00000X
  • Family Medicine

    Sports Medicine

    Allopathic & Osteopathic Physicians

    A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

    Taxonomy code 207QS0010X
  • Clinic/Center

    Primary Care

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QP2300X
  • Preventive Medicine

    Preventive Medicine/Occupational Environmental Medicine

    Allopathic & Osteopathic Physicians

    A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

    Taxonomy code 2083P0500X
  • Preventive Medicine

    Sports Medicine

    Allopathic & Osteopathic Physicians

    A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.

    Taxonomy code 2083S0010X
  • Preventive Medicine

    Undersea and Hyperbaric Medicine

    Allopathic & Osteopathic Physicians

    A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

    Taxonomy code 2083P0011X
  • Physical Medicine & Rehabilitation

    Pain Medicine

    Allopathic & Osteopathic Physicians

    A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

    Taxonomy code 2081P2900X
  • Physical Medicine & Rehabilitation

    Neuromuscular Medicine

    Allopathic & Osteopathic Physicians

    A physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these disorders. This encompasses the knowledge of the pathology, diagnosis and treatment of these disorders at a level that is significantly beyond the training and knowledge expected of a general neurologist, child neurologist or physiatrist.

    Taxonomy code 2081N0008X

Provider-Reported License Information

Family Medicine (Georgia)
044683
Family Medicine (Georgia)
044683
Clinic/Center (Georgia)
044683
Preventive Medicine (Georgia)
044683
Preventive Medicine (Georgia)
044683
Preventive Medicine (Georgia)
044683
Physical Medicine & Rehabilitation (Georgia)
044683
Physical Medicine & Rehabilitation (Georgia)
044683
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

555 Sun Valley Dr

Suite D

Roswell, Georgia 30076-5622

Phone: (678) 990-5401

Record Information

Enumeration Date
May 23, 2007
Provider's NPPES Record Last Updated
December 22, 2010
NPISignal NPPES Dataset
August 2026

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