Individual provider Active NPI

Jamie Howell Roberts, PA-C

  • Medical Physician Assistant
  • Powell, TN
National Provider Identifier
1235577537
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2332 Issued in TN
Practice address
7730 Dannaher Dr
Powell, TN 37849-4039
Phone
(865) 524-7107
Fax
(865) 524-3709
NPI assigned
Jun 7, 2013
Last updated
Feb 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2332 TN Primary

Addresses

Primary practice location

7730 Dannaher Dr
Powell, TN 37849-4039

Mailing address

7730 Dannaher Dr
Powell, TN 37849-4039
Phone (865) 524-7107

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
I20160916001655 TN Practitioner - Physician Assistant 7315234424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Specialists PLLCGroup PAC ID 6002843166, 8 clinicians

Practice addresses (Care Compare)

7730 Dannaher Dr
Powell, TN 37849-4039
Phone (865) 524-7107

Merit-based Incentive Payment System (MIPS)

Final score
79.29 of 100Reported as individual
Quality
58.58
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1235577537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 DANNAHER DR",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378494039",
            "telephone_number": "865-524-7107",
            "fax_number": "865-524-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 DANNAHER DR",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378494039",
            "telephone_number": "865-524-7107",
            "fax_number": "865-524-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JAMIE",
        "middle_name": "HOWELL",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "2332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, TN

Sources for this page

Verify at the official NPI Registry.