Tawana Naydean Roberson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4526 Issued in SC

Practice address

2638 Two Notch Rd Suite 204 Unit 11
Columbia, SC 29204

Phone

(803) 995-6737

NPI assigned

Jan 14, 2020

Last updated

Mar 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Life Expressions Health and Wellness Center

  • Chiropractor
  • Columbia, SC
  • NPI 1023777190
  NPD Authorized official
• Davis and Davis Health Center

  • Internist Chiropractor
  • Winnsboro, SC
  • NPI 1770605925

  Multi-Specialty

  NPD (past)
• Total Health Center

  • Chiropractor
  • Columbia, SC
  • NPI 1770829335
  NPD (past)

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1053951475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 SUMMERS TRACE DR",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168388",
            "telephone_number": "803-354-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2638 TWO NOTCH RD SUITE 204 UNIT 11",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29204",
            "telephone_number": "803-995-6737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "359 Summers Trace Dr",
            "address_purpose": "LOCATION",
            "city": "Blythewood",
            "state": "SC",
            "postal_code": "290168388",
            "country_code": "US",
            "telephone_number": "180-335-4828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "TAWANA",
        "middle_name": "NAYDEAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "DC.4526",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@lifeexpressionshwc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "359 Summers Trace Dr",
            "city": "Blythewood",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290168388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cristina H Roberson, LISW
• Detris Lashall Roberson, APRN
• Jade E. Roberson, RBT
• Jo Ellen Roberson, RN
• Sabria Roberson
• Tyrone G Roberson Sr., AGPCNP-BC
• Uniqa Sade Roberson, RN
• Robert L. Waldron, II, MD, PA
• Robert M. Crooks, Jr., D.M.D.
• Aundreana Roberts, RBT

• Chiropractor in Columbia, SC
• Providers in Columbia, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.