Individual provider Active NPI

James Wayne Roberts, MD

  • Cardiovascular Disease Physician
  • Monroe, NC
National Provider Identifier
1083657522
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
9701857 Issued in NC
Practice address
1640 E Roosevelt Blvd
Monroe, NC 28112-4017
Phone
(704) 226-0500
Fax
(704) 226-0599
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 20005 SC
Cardiovascular Disease Physician 207RC0000X 9701857 NC Primary

Addresses

Primary practice location

1640 E Roosevelt Blvd
Monroe, NC 28112-4017

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 343-9800

Other identifiers 4

IdentifierTypeStateIssuer
1087POtherNCBCBS
P00612335OtherNCRAILROAD MEDICARE
N01857MedicaidSC
891087PMedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jroberts34668@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20071103000072 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0143317362 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Novant Health Matthews Medical Center LLCGroup PAC ID 6406845247, 76 clinicians
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

Practice addresses (Care Compare)

1500 Matthews Township Pkwy
Matthews, NC 28105-4656
Phone (704) 384-6500

1640 E Roosevelt Blvd
Monroe, NC 28112-4017
Phone (704) 226-0500

301 Hawthorne LN
Suite 200
Charlotte, NC 28204-2467
Phone (704) 316-5100

Hospital & facility affiliations

  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Novant Health Matthews Medical Center Hospital, Matthews, NC, CCN 340171
  • Atrium Health Union Hospital, Monroe, NC, CCN 340130
  • Novant Health Mint Hill Medical Center Hospital, Charlotte, NC, CCN 340190
  • Novant Health Ballantyne Medical Center Hospital, Charlotte, NC, CCN 340195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20005SCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Presbyterian Hospital Internal Medicine CurrentSince Jul 14, 2010 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Legacy Heart Care of Charlotte, LLC Cardiovascular Disease CurrentSince Feb 1, 2018 Accepting new patients
The Presbyterian Hospital CurrentSince Jul 14, 2010 Accepting new patients
Novant Health Ballantyne Medical Center LLC CurrentSince Jul 21, 2023 Accepting new patients
Novant Health Medical Group. LLC CurrentSince Sep 12, 2020 Accepting new patients
Novant Health Mint Hill Medical Center, LLC CurrentSince Oct 1, 2018 Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Nov 27, 2011 Accepting new patients
Novant Health Medical Group, LLC Cardiovascular Disease CurrentSince Jul 1, 2009 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 1, 2009 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
The Presbyterian Hospital Internal Medicine Current Accepting new patients
Novant Medical Group, Inc. Cardiovascular Disease Past Accepting new patients

Locations (25 of 26)

125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

8201 Healthcare Loop
Ste 201
Charlotte, NC 28215
Phone (704) 316-3024

2701 Statesville Ave
Charlotte, NC 28206
Phone (704) 384-0500

125 Queens Rd
Ste 330
Charlotte, NC 28204
Phone (704) 384-5043

125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6380

10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000

300 Billingsley Rd
Ste 101
Charlotte, NC 28211
Phone (704) 334-1401

14035 Grandiflora Dr
Charlotte, NC 28278
Phone (704) 316-1074

15830 Ballantyne Medical Pl
Ste 275
Charlotte, NC 28277
Phone (980) 302-8659

6701 Carmel Rd
Unit 355
Charlotte, NC 28226
Phone (704) 334-1401

125 Queens Rd
Ste 200
Charlotte, NC 28204

301 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 316-5100

125 Queens Rd
Ste 250
Charlotte, NC 28204
Phone (704) 316-2340

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

990 Lee Ann Dr NE
Concord, NC 28025
Phone (704) 441-0272

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

9930 Kincey Ave
Ste 200
Huntersville, NC 28078
Phone (704) 887-4530

1401 Matthews Township Pkwy
Ste 110
Matthews, NC 28105
Phone (704) 264-3500

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

1401 Matthews Township Pkwy
Ste 212312
Matthews, NC 28105
Phone (704) 316-3131

1640 E Roosevelt Blvd
Monroe, NC 28112
Phone (704) 226-0500

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

Interoperability endpoints

  • Direct secure messaging: jroberts34668@direct.novanthealth.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1083657522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-343-9800",
            "fax_number": "704-347-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 E ROOSEVELT BLVD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124017",
            "telephone_number": "704-226-0500",
            "fax_number": "704-226-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JAMES",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-10-28",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "20005",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "9701857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1087P",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00612335",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N01857",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891087P",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jroberts34668@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1640 E Roosevelt Blvd",
            "city": "Monroe",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281124017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.