Active NPI
Joanna Lee Roberts, PA-C, ATC
- Physician Assistant
- Greeneville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4224
- Practice address
- 3430 E Andrew Johnson Hwy
Greeneville, TN 37745-0968 - Phone
- (423) 820-0033
- Fax
- (423) 820-0034
- NPI assigned
- Jul 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 4224 | TN | Primary |
Addresses
Primary practice location
3430 E Andrew Johnson Hwy
Greeneville, TN 37745-0968
Mailing address
PO Box 306244
Nashville, TN 37230-6244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201124001706 | TN | Practitioner - Physician Assistant | 6608287644 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fast Pace Medical Clinic PLLC
Practice addresses (Care Compare)
100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000
4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321
756 Cosby Hwy
Newport, TN 37821-3455
Phone (423) 237-6546
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NV Pacs 2 LLC | Current | Accepting new patients | |
| Appalachian Orthopaedic Associates P C | Current | Accepting new patients | |
| CS Pacs 3 Southeast, LLC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Ipc Pac Healthcare Services of Tennessee PC | Physician Assistant | Current | Accepting new patients |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Appalachian Orthopaedic Associates P C | Current | Accepting new patients |
Locations
105 Meadow View Rd
Ste 4
Bristol, TN 37620
Phone (423) 844-6935
260 Midway Medical Park
Ste 100
Bristol, TN 37620
Phone (423) 968-4446
1 Medical Park Blvd
Ste 300E
Bristol, TN 37620
Phone (423) 245-3161
7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038
3430 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 820-0033
3 Professional Park Dr
Ste 10
Johnson City, TN 37604
Phone (423) 926-4331
3 Professional Park Dr
Ste 21
Johnson City, TN 37604
2280 S Shady St
Mountain City, TN 37683
Phone (423) 501-2165
Interoperability endpoints
- joanna.roberts.1@1054.direct.athenahealth.com
Organizations & group practices 23
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.
-
- Internal Medicine Physician
- Bristol, TN
- NPI 1104277656
Physician Assistant, TN
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Orthopaedic Surgery Physician
- Rogersville, TN
- NPI 1063875649
TN
-
- Urgent Care Clinic/Center
- Lincoln, AL
- NPI 1023773322
-
- Rural Health Clinic/Center
- Jackson, AL
- NPI 1033890132
-
- Rural Health Clinic/Center
- Lincoln, AL
- NPI 1043975345
-
- Rural Health Clinic/Center
- Sylacauga, AL
- NPI 1043975402
-
- Rural Health Clinic/Center
- Clanton, AL
- NPI 1215761341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1104434844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 306244",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372306244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3430 E ANDREW JOHNSON HWY",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377450968",
"telephone_number": "423-820-0033",
"fax_number": "423-820-0034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "JOANNA",
"middle_name": "LEE",
"credential": "PA-C, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-20",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "4224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greeneville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.