Individual provider Active NPI

Maurice J Roberts, FNP-C

  • Family Nurse Practitioner
  • South Boston, VA
National Provider Identifier
1194297853
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024177069 Issued in VA
Practice address
3601 Old Halifax Rd Ste 100
South Boston, VA 24592-4953
Phone
(757) 984-6140
Fax
(833) 491-4954
NPI assigned
Dec 19, 2018
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024177069 VA Primary

Addresses

Primary practice location

3601 Old Halifax Rd Ste 100
South Boston, VA 24592-4953

Mailing address

Godocs LLC
949 Piney Forest Road
Danville, VA 24540-1591
Phone (434) 835-4876

Other practice location 1

GoDocs LLC
949 Piney Forest Road
Danville, VA 24540-1591
Phone (434) 835-4876

Other identifiers 1

IdentifierTypeStateIssuer
0024177069OtherVAAPPLICATION IN PROCESS

Other names 1

  • Maurice Jevon Roberts Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20190128000452 VA Practitioner - Nurse Practitioner 9436496577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Velocity Urgent Care LLCGroup PAC ID 7618234980, 84 clinicians

Practice addresses (Care Compare)

3130 C
South Boston, VA 24592
Phone (434) 835-4876

3601 Old Halifax Rd
Suite 100
South Boston, VA 24592-4953
Phone (434) 290-1225

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Velocity Urgent Care, LLC CurrentSince Jul 4, 2025 Accepting new patients

Locations

3601 Old Halifax Rd
Ste 100
South Boston, VA 24592
Phone (434) 290-1225

4374 New Town Ave
Williamsburg, VA 23188
Phone (757) 772-6124

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEGHDD/Endpoint/CEGHDD

Organizations & group practices 2

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 2

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": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1194297853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GODOCS LLC",
            "address_2": "949 PINEY FOREST ROAD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245401591",
            "telephone_number": "434-835-4876",
            "fax_number": "434-835-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 OLD HALIFAX RD STE 100",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245924953",
            "telephone_number": "757-984-6140",
            "fax_number": "833-491-4954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "GoDocs LLC",
            "address_2": "949 Piney Forest Road",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245401591",
            "country_code": "US",
            "telephone_number": "434-835-4876",
            "fax_number": "434-835-4875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MAURICE",
        "middle_name": "J",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-19",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024177069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APPLICATION IN PROCESS",
            "identifier": "0024177069",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAURICE",
            "last_name": "ROBERTS",
            "middle_name": "JEVON",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Boston, VA

Sources for this page

Verify at the official NPI Registry.