Molly Roberson, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

9880 Angies Way Ste 250
Louisville, KY 40241-2865

Phone

(502) 394-6341

Fax

(502) 394-6340

NPI assigned

Feb 6, 2018

Last updated

Jul 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Physicians' Medical Center LLC Hospital, New Albany, IN, CCN 150172

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mroberson125651@direct.nortonhealthcare.org

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.

• Aptiva Health

  dba Aptiva Health LLC

  • Orthopaedic Surgery Physician
  • Louisville, KY
  • NPI 1669967881
  Medicare reassignment NPD
• Community Medical Associates, Inc.

  • Multi-Specialty Clinic/Center
  • Louisville, KY
  • NPI 1306983762
  Medicare reassignment
• Community Medical Associates, Inc.

  • Sports Medicine (Family Medicine) Physician
  • Louisville, KY
  • NPI 1386904647
  NPD
• Community Medical Associates, Inc.

  dba Norton Community Medical Associates

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1881192409
  NPD
• Physicians Medical Center LLC

  dba PMC Surgical Associates

  • Surgery Physician
  • New Albany, IN
  • NPI 1821425711
  NPD (past)

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

• Physicians Medical Center LLC

  • General Acute Care Hospital
  • New Albany, IN
  • NPI 1689857385
  Care Compare affiliation

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1194224048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 NORTHGATE CT STE 204",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506422",
            "telephone_number": "812-207-2130",
            "fax_number": "812-207-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 ANGIES WAY STE 250",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412865",
            "telephone_number": "502-394-6341",
            "fax_number": "502-394-6340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1064 Eastern Pkwy",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171532",
            "country_code": "US",
            "telephone_number": "502-489-4325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "MOLLY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN LICENSE",
            "identifier": "10002406A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY LICENSE",
            "identifier": "PA2333",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Roberson, LCSW
• Catherine Roberson, ARNP
• Lenice Roberson, CPT
• Lynn Allan Roberson, LMT
• Megan Marie Roberson, LCSW
• Robert B. Nolan, Jr., MD, PLLC
• Robert E Ellis MD
• Robert E Emig D C PLLC (Emig Chiropractic Center)
• Robert E. Emig DC PLLC
• Robert G Hammer MD & Associates (Robert G Hammer MD)

• Surgical Physician Assistant in Louisville, KY
• Providers in Louisville, KY by specialty
• Surgical Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.

Verify at the official NPI Registry.