Active NPI
Colby Roberts, DC
- Independent Medical Examiner Chiropractor
- Harriman, TN
National Provider Identifier
1336921089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Medical Examiner Chiropractor
- License
- 3776
- Practice address
- 2497 S Roane St Ste 260
Harriman, TN 37748-8692 - Phone
- (865) 250-7506
- NPI assigned
- Oct 17, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Medical Examiner Chiropractor | 111NI0013X | 3776 | TN | Primary |
Addresses
Primary practice location
2497 S Roane St Ste 260
Harriman, TN 37748-8692
Mailing address
2497 S Roane St Ste 260
Harriman, TN 37748-8692
Phone (865) 250-7506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231101002784 | TN | Practitioner - Chiropractic | 9638525330 | Practice locations: Harriman, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2497 S Roane St
Suite 260
Harriman, TN 37748-8670
Phone (865) 882-5252
2497 S Roane St
Suite 260
Harriman, TN 37748-8692
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1336921089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2497 S ROANE ST STE 260",
"city": "HARRIMAN",
"state": "TN",
"postal_code": "377488692",
"telephone_number": "865-250-7506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2497 S ROANE ST STE 260",
"city": "HARRIMAN",
"state": "TN",
"postal_code": "377488692",
"telephone_number": "865-250-7506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "COLBY",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-17",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0013X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Independent Medical Examiner",
"state": "TN",
"license": "3776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harriman, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.