MR. DAVID ALLEN ROBERTS (NPI# 1346363231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346363231 |
| Entity Type | Individual |
| Full Name | MR. DAVID ALLEN ROBERTS |
| Credential | PA-C |
| Practice Address |
2012 Greystone Sq Jackson TN 38305-3575 |
| Practice Telephone | 7316646998 |
| Practice Fax Number | 7312664716 |
| Mailing Telephone | 7316646998 |
| Mailing Fax Number | 7312664716 |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2010-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1501 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3665060 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104342526 | David Roberts | Driver | 419 Blondell Ave, Appalachia, VA 24216-1803 | 2017-08-17 |
| 1326419383 | David Roberts | Dentist | 112 Ne 5th Ave, Milton Freewater, OR 97862-1704 | 2015-10-15 |
| 1508266925 | David Roberts | Case Manager/Care Coordinator | 201 W Spingdale Ave, Knoxville, TN 37917 | 2014-09-04 |
| 1265866073 | David B Roberts | Obstetrics & Gynecology | 44 Wicks Ln, Billings, MT 59105-3810 | 2013-08-28 |
| 1346508397 | David Clark Roberts | Hearing Instrument Specialist | 1632 S Marblehead Rd, Lewisville, NC 27023-7788 | 2012-04-27 |
| 1114229010 | David J Roberts | Counselor | 5n017 West Woods Dr, Campton Hills, IL 60175-5514 | 2010-11-27 |
| 1255650917 | David Leland Roberts | Psychologist | 7526 Louis Pasteur, San Antonio, TX 78229-4001 | 2010-05-20 |
| 1275868044 | David D Roberts | Hearing Instrument Specialist | 7045 S State St, Midvale, UT 84047-1548 | 2009-10-12 |
| 1962528091 | David Ward Roberts | Dentist | 14608 S Harrells Ferry Rd, Baton Rouge, LA 70816-2926 | 2007-03-21 |
| 1285799825 | David Neil Roberts | Internal Medicine | 608 Liberty Ln, Edmond, OK 73034-9432 | 2006-12-26 |
| Street Address |
2012 GREYSTONE SQ |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-3575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083846703 | Advanced Rehab and Medical PC | Specialist | 2012 Greystone Sq, Jackson, TN 38305-3575 | 2009-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942834494 | Emily Amburn | Physician Assistant | 2968 N Highland Ave, Jackson, TN 38305-3409 | 2020-02-24 |
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1972161891 | Allison Taylor | Physician Assistant | 1850 Chadwick Drive, Suite 1427, North Tower, 4 West, Jackson, MS 39204-3404 | 2019-06-05 |
| 1306302328 | Chloe A Goldfarb | Physician Assistant | 21 Shoal Rd, Jackson, NJ 08527-4025 | 2019-02-14 |
| 1447722558 | Casey James Elliott | Physician Assistant | 747 Oakwood St, Jackson, MS 39202-1121 | 2018-12-31 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1982194551 | Samantha Lynn Denoville | Physician Assistant | 1 Kensington Ct, Jackson, NJ 08527-1292 | 2018-05-18 |
| 1104320308 | Dalton Glenn Weaver | Physician Assistant | 708 N Highland Ave, Jackson, TN 38301-4829 | 2018-03-21 |
| 1336669258 | Whitney J Peterson | Physician Assistant | 501 Marshall St Ste 301, Jackson, MS 39202-1687 | 2017-06-21 |
| 1922541093 | Jacob Carpenter | Physician Assistant | 2497 N West St, Jackson, MS 39216-4409 | 2016-11-22 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.