Individual provider Active NPI

Joanna Lee Roberts, PA-C, ATC

  • Physician Assistant
  • Greeneville, TN
National Provider Identifier
1104434844
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4224 Issued in TN
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

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PLLCGroup PAC ID 5395881841, 737 clinicians

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

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Mar 30, 2026 Accepting new patients
Appalachian Orthopaedic Associates P C CurrentSince Nov 9, 2020 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Mar 30, 2026 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 10, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 10, 2024 Accepting new patients
Ipc Pac Healthcare Services of Tennessee PC Physician Assistant CurrentSince Mar 30, 2026 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Appalachian Orthopaedic Associates P C CurrentSince Nov 9, 2020 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

  • Direct secure messaging: 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.

View all 23

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

Verify at the official NPI Registry.