Porsche L. Roberson, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

42695 Issued in AL

Practice address

13596 Highway 231 431 N Ste 2
Hazel Green, AL 35750-8618

Phone

(256) 428-4950

Fax

(256) 828-0526

NPI assigned

Jun 29, 2007

Last updated

Jun 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• HH Physician Care

  • Internal Medicine Physician
  • Huntsville, AL
  • NPI 1144860123

  Pediatrics

  Medicare reassignment NPD
• Healthcare Authority of the City of Huntsville

  dba HH Physician Care at Bailey Cove

  • Family Medicine Physician
  • Huntsville, AL
  • NPI 1235434077
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1003013459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2705",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358042705",
            "telephone_number": "256-428-4950",
            "fax_number": "256-828-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13596 HIGHWAY 231 431 N STE 2",
            "city": "HAZEL GREEN",
            "state": "AL",
            "postal_code": "357508618",
            "telephone_number": "256-428-4950",
            "fax_number": "256-828-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "PORSCHE",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101246759",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "42695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "proberson42192@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "661 University Ln Ste A",
            "city": "Orange",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229602243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nearl Phillips
• Micheal Alan Powers, RPH
• Jessica Proaps
• Jennifer Quillin, M.D.
• Randy David Posey
• William David Rodman, RPH
• Southern Home Access Incorporated (Next Day Access of Huntsville)
• Kimberly George Speegle, RPH
• St's Touched Expressions
• Adriana Stegall, FNP-C

• Pediatrics Physician in Hazel Green, AL
• Providers in Hazel Green, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.