Individual provider Active NPI

Dayne K Roberts, MD

  • Diagnostic Radiology Physician
  • Albemarle, NC
National Provider Identifier
1164428363
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
200101268 Issued in NC
Practice address
301 Yadkin St
Albemarle, NC 28001-3441
Phone
(704) 984-4385
Fax
(704) 983-5217
NPI assigned
Jun 22, 2005
Last updated
Dec 1, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 200101268 NC Primary

Addresses

Primary practice location

301 Yadkin St
Albemarle, NC 28001-3441

Mailing address

PO Box 2060
Albemarle, NC 28002-2060
Phone (704) 983-0990

Other identifiers 3

IdentifierTypeStateIssuer
89130C2MedicaidNC
130CC2OtherNCBCBS OF NC
P00115961OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160304001130 NV Practitioner - Diagnostic Radiology 8325018930 Reassigns benefits to 1 organization
I20200402003468 GA Practitioner - Diagnostic Radiology 8325018930 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Toledo College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Georgia Radiology Associates LLCGroup PAC ID 0042389231, 32 clinicians
Sterling Radiology LLCGroup PAC ID 1254705338, 16 clinicians

Practice addresses (Care Compare)

163 E Tollison St
Baxley, GA 31513-0120
Phone (912) 367-9841

3131 S Main St
Moultrie, GA 31768-6925
Phone (229) 890-3500

687 Tyner Way
Incline Village, NV 89451-8314
Phone (912) 225-0938

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200101268NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bca Georgia, LLC CurrentSince Dec 1, 2022 Accepting new patients
South Georgia Radiology Associates, LLC Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
Sterling Radiology LLC CurrentSince Jan 1, 2026 Accepting new patients
X-Ray Associates Diagnostic Radiology Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Stanly County Imaging PLLC Diagnostic Radiology Past Accepting new patients
Medical Imaging Physicians, L.L.P. Diagnostic Radiology Past Accepting new patients
Radiology Consultants of Wytheville Diagnostic Radiology Past Accepting new patients
Radiology PSC Diagnostic Radiology Past Accepting new patients

Locations (25 of 54)

172 Mj Taylor Rd
Adel, GA 31620
Phone (229) 896-3424

260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290

2822 Nottingham Way
Ste 3
Albany, GA 31707
Phone (229) 304-5261

302 S Wayne St
Alma, GA 31510
Phone (912) 632-8961

611 E Washington Ave
Ashburn, GA 31714
Phone (229) 353-2500

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

100 Highway 18 W
Barnesville, GA 30204
Phone (770) 358-0674

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

277 Lackawanna St
Baxley, GA 31513
Phone (912) 366-1362

950 S Main St
Ste 2
Baxley, GA 31513
Phone (912) 367-2596

19 Doctors Way
Ste A
Blairsville, GA 30512

2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263

902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

200 Fairview Park Dr
Dublin, GA 31021
Phone (478) 272-6150

1120 Indian Dr
Eastman, GA 31023
Phone (478) 354-4220

901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000

101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907

200 Perry House Rd
Fitzgerald, GA 31750
Phone (229) 424-1461

88 Martin Luther King Jr Dr
Forsyth, GA 31029
Phone (419) 994-2521

101 Hartford Rd W
Ste 1
Fort Gaines, GA 39851
Phone (229) 210-2100

260 W Clinton St
Gray, GA 31032
Phone (478) 845-7462

138 N College St
Hamilton, GA 31811
Phone (478) 776-4000

15 Yarbrough St
Hazlehurst, GA 31539
Phone (912) 375-0755

163 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-7781

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1164428363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2060",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280022060",
            "telephone_number": "704-983-0990",
            "fax_number": "704-983-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 YADKIN ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013441",
            "telephone_number": "704-984-4385",
            "fax_number": "704-983-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "DAYNE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "200101268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89130C2",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "130CC2",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00115961",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

Verify at the official NPI Registry.