Active NPI
Rodney James Snodgrass Deaton, M.D.
- Psychiatry Physician
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101277055
- Practice address
- 2017 Jefferson St SW
Roanoke, VA 24014-2419 - Phone
- (540) 981-8025
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 50000 | TN | |
| Psychiatry Physician | 2084P0800X | CDR.0004378 | CO | |
| Psychiatry Physician | 2084P0800X | 01031938A | IN | |
| Psychiatry Physician | 2084P0800X | 202566 | AK | |
| Psychiatry Physician | 2084P0800X | MD61408068 | WA | |
| Psychiatry Physician | 2084P0800X | 0101277055 | VA | Primary |
| Psychiatry Physician | 2084P0800X | 75956 | MN | |
| Psychiatry Physician | 2084P0800X | 4301116311 | MI |
Addresses
Primary practice location
2017 Jefferson St SW
Roanoke, VA 24014-2419
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Other practice location 1
1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (276) 523-3111
Other practice location 2
3443 Dickerson Pike
Suite 640
Nashville, TN 37207-2519
Phone (615) 860-6500
Other practice location 3
4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (612) 262-1220
Other practice location 4
1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000
Other practice location 5
1519 Main St
Sneedville, TN 37869-3657
Phone (423) 733-5000
Other practice location 6
851 Locust St
Rogersville, TN 37857-2407
Phone (423) 921-7000
Other practice location 7
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000
Other practice location 8
400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111
Other practice location 9
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121
Other practice location 10
2000 Brookside Dr
Kingsport, TN 37660-4627
Phone (423) 857-7000
Other practice location 11
58 Carroll Street
Lebanon, VA 24266-4510
Phone (276) 883-8000
Other practice location 12
312 Hospital Dr
Clintwood, VA 24228-6786
Phone (276) 926-0300
Other practice location 13
1501 W Elk Ave
Elizabethton, TN 37643-2874
Phone (423) 542-1300
Other practice location 14
2030 Temple Hill Rd
Erwin, TN 37650-8721
Phone (423) 743-3141
Other practice location 15
1901 S Shady St
Mountain City, TN 37683-2021
Phone (423) 727-1100
Other practice location 16
16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000
Other practice location 17
245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-1000
Other practice location 18
1615 Delaware St
Longview, WA 98632-2367
Phone (360) 636-4836
Other practice location 19
400 NE Mother Joseph Pl
Vancouver, WA 98664-3200
Phone (360) 514-3191
Other practice location 20
11600 W 2nd Pl
Lakewood, CO 80228-1527
Phone (720) 321-0000
Other practice location 21
127 Health Care Dr
Pennington Gap, VA 24277-2853
Phone (276) 299-5000
Other practice location 22
300 Med Tech Pkwy
Johnson City, TN 37604-2277
Phone (423) 302-1000
Other practice location 23
3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 228-7660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100323830 | Medicaid | IN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rdeaton654966@excellian.direct.allina.com | Direct | |
| Direct Messaging Address | rdeaton385218@Direct.FranciscanAlliance.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, IN, NY, VA, PA, MI, MO, MN, WI, OR, WA, NC, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 13
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Indiana University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7000
2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-7500
317 Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 577-2345
501 Billingsley Rd
Charlotte, NC 28211-1009
Phone 7044445881704444
5776 Grape Rd
Mishawaka, IN 46545-8460
Phone (570) 271-6144
600 E Blvd
Elkhart, IN 46514-2483
600 E Blvd 4TH FL Hospitalists
BMG Hospital Specialties
Elkhart, IN 46514-2483
Phone (574) 647-3050
700 Walter Reed Dr
Greensboro, NC 27403-1128
Phone (336) 832-9600
707 N Michigan St
400 BMG Behavioral Health South Bend
South Bend, IN 46601-1071
Phone (574) 647-8470
Hospital & facility affiliations
- Elkhart General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202566 | AK | MD | Psychiatry Physician |
| CDR.0004378 | CO | MD | Psychiatry Physician |
| 4301116311 | MI | MD | Psychiatry Physician |
| 50000 | TN | MD | Psychiatry Physician |
| 0101277055 | VA | MD | Psychiatry Physician |
| MD61408068 | WA | MD | Psychiatry Physician |
Practice roles (58 of 66)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Psychiatry | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Onslow Memorial Hospital Inc | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| McLaren Medical Group | Psychiatry | Current | Accepting new patients |
| McLaren Medical Group | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| SSM Regional Health Services | Current | Accepting new patients | |
| Peacehealth | Psychiatry | Current | Accepting new patients |
| McLaren Medical Group | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Carolinas Medical Center | Psychiatry | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Peacehealth Medical Group Cottage Grove | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Nuvance Health Medical Practice PC | Psychiatry | Current | Accepting new patients |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Alamance Regional Medical Center, Inc | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Psychiatry | Current | Accepting new patients |
| Peacehealth Medical Group | Psychiatry | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| SSM Regional Health Services | Current | Accepting new patients | |
| The Moses H. Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Beacon Medical Group Inc | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Maury Regional Medical Group, Inc | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Maury Regional Hospital Marshall Medical Center | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Psychiatry | Current | Accepting new patients |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Alamance Regional Medical Center, Inc. | Current | Accepting new patients | |
| Onslow Memorial Hospital, Inc. | Past | Accepting new patients | |
| Madison Behavioral Health, LLC | Psychiatry | Past | Accepting new patients |
Locations (25 of 65)
3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104
9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193
11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
8175 Reliable Pkwy
Chicago, IL 60686
7655 Solutions Ctr
Chicago, IL 60677
5776 Grape Rd
Mishawaka, IN 46545
707 N Michigan St
Ste 400
South Bend, IN 46601
Phone (574) 647-4500
1100 S Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-9521
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
401 N Hooper St
Caro, MI 48723
Phone (517) 673-3141
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
5979 Lakeshore Rd
Fort Gratiot, MI 48059
Phone (810) 385-6370
1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575
2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500
1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531
1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500
1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727
1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700
416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
2701 W Edgewood Dr
Ste 101
Jefferson Cty, MO 65109
Phone (573) 634-5303
Networks
- IL PPO Downstate
- KY PPO C-SNP
- KY PPO
- IL HMO C-SNP
- OH PPO
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
Interoperability endpoints
- rdeaton385218@direct.franciscanalliance.org
- rdeaton2994641@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 60
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Burlington, NC
- NPI 1326010273
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
- Family Medicine Physician
- Lapeer, MI
- NPI 1346396066
-
- General Acute Care Hospital
- Jacksonville, NC
- NPI 1679535496
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1013265909
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
- General Practice Physician
- River Falls, WI
- NPI 1407395247
-
- Emergency Medicine Physician
- River Falls, WI
- NPI 1578507513
-
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elkhart, IN
- NPI 1477551489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1003934274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S JEFFERSON ST STE 1006",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240111713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2017 JEFFERSON ST SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240142419",
"telephone_number": "540-981-8025"
}
],
"practiceLocations": [
{
"address_1": "1990 Holton Ave E",
"address_purpose": "LOCATION",
"city": "Big Stone Gap",
"state": "VA",
"postal_code": "242193350",
"country_code": "US",
"telephone_number": "276-523-3111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3443 Dickerson Pike",
"address_2": "Suite 640",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372072519",
"country_code": "US",
"telephone_number": "615-860-6500",
"fax_number": "615-250-0464",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4050 Coon Rapids Blvd NW",
"address_purpose": "LOCATION",
"city": "Coon Rapids",
"state": "MN",
"postal_code": "554332522",
"country_code": "US",
"telephone_number": "612-262-1220",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1420 Tusculum Blvd",
"address_purpose": "LOCATION",
"city": "Greeneville",
"state": "TN",
"postal_code": "377454279",
"country_code": "US",
"telephone_number": "423-787-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1519 Main St",
"address_purpose": "LOCATION",
"city": "Sneedville",
"state": "TN",
"postal_code": "378693657",
"country_code": "US",
"telephone_number": "423-733-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "851 Locust St",
"address_purpose": "LOCATION",
"city": "Rogersville",
"state": "TN",
"postal_code": "378572407",
"country_code": "US",
"telephone_number": "423-921-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 W Ravine Rd",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376603837",
"country_code": "US",
"telephone_number": "423-224-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 N State Of Franklin Rd",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376046035",
"country_code": "US",
"telephone_number": "423-431-6111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Medical Park Blvd",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "TN",
"postal_code": "376207430",
"country_code": "US",
"telephone_number": "423-844-1121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 Brookside Dr",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376604627",
"country_code": "US",
"telephone_number": "423-857-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "58 Carroll Street",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "VA",
"postal_code": "242664510",
"country_code": "US",
"telephone_number": "276-883-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "312 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Clintwood",
"state": "VA",
"postal_code": "242286786",
"country_code": "US",
"telephone_number": "276-926-0300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 W Elk Ave",
"address_purpose": "LOCATION",
"city": "Elizabethton",
"state": "TN",
"postal_code": "376432874",
"country_code": "US",
"telephone_number": "423-542-1300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2030 Temple Hill Rd",
"address_purpose": "LOCATION",
"city": "Erwin",
"state": "TN",
"postal_code": "376508721",
"country_code": "US",
"telephone_number": "423-743-3141",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1901 S Shady St",
"address_purpose": "LOCATION",
"city": "Mountain City",
"state": "TN",
"postal_code": "376832021",
"country_code": "US",
"telephone_number": "423-727-1100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16000 Johnston Memorial Dr",
"address_purpose": "LOCATION",
"city": "Abingdon",
"state": "VA",
"postal_code": "242117664",
"country_code": "US",
"telephone_number": "276-258-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "245 Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "VA",
"postal_code": "243541100",
"country_code": "US",
"telephone_number": "276-378-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1615 Delaware St",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "WA",
"postal_code": "986322367",
"country_code": "US",
"telephone_number": "360-636-4836",
"fax_number": "360-636-6792",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 NE Mother Joseph Pl",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986643200",
"country_code": "US",
"telephone_number": "360-514-3191",
"fax_number": "360-729-3372",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11600 W 2nd Pl",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "CO",
"postal_code": "802281527",
"country_code": "US",
"telephone_number": "720-321-0000",
"fax_number": "720-321-4165",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "127 Health Care Dr",
"address_purpose": "LOCATION",
"city": "Pennington Gap",
"state": "VA",
"postal_code": "242772853",
"country_code": "US",
"telephone_number": "276-299-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Med Tech Pkwy",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376042277",
"country_code": "US",
"telephone_number": "423-302-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3100 Tongass Ave",
"address_purpose": "LOCATION",
"city": "Ketchikan",
"state": "AK",
"postal_code": "999015746",
"country_code": "US",
"telephone_number": "907-228-7660",
"fax_number": "907-228-8549",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEATON",
"first_name": "RODNEY",
"middle_name": "JAMES SNODGRASS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "50000",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "CDR.0004378",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01031938A",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AK",
"license": "202566",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD61408068",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101277055",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "75956",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301116311",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100323830",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rdeaton654966@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "4050 Coon Rapids Blvd NW",
"city": "Coon Rapids",
"state": "MN",
"country_code": "US",
"postal_code": "554332522",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rdeaton385218@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "24 Joliet St",
"city": "Dyer",
"state": "IN",
"country_code": "US",
"postal_code": "46311",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.