Individual provider Active NPI

Kimberly Ann Roberts, MD

  • Anesthesiology Physician
  • Chattanooga, TN
National Provider Identifier
1437177920
Registry record updated Jul 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101239695 Issued in VA
Practice address
842 Blissfield CT
Chattanooga, TN 37419-2248
Phone
(540) 845-3506
NPI assigned
Jul 17, 2006
Last updated
Jul 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101239695 VA Primary

Addresses

Primary practice location

842 Blissfield CT
Chattanooga, TN 37419-2248

Mailing address

842 Blissfield CT
Chattanooga, TN 37419-2248
Phone (540) 845-3506

Other identifiers 1

IdentifierTypeStateIssuer
1437177920MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20061018000477 VA Practitioner - Anesthesiology 5496751257 Reassigns benefits to 1 organization
I20240918004210 TN Practitioner - Anesthesiology 5496751257 Reassigns benefits to 1 organization
I20251008003845 GA Practitioner - Anesthesiology 5496751257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Georgia Anesthesia Services PCGroup PAC ID 2769800515, 44 clinicians

Practice addresses (Care Compare)

1200 Memorial Dr
Dalton, GA 30720-2529
Phone (706) 272-6000

2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone (865) 546-8040

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Georgia Anesthesia Services PC Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
American Anesthesiology of Tennessee, P.C. Anesthesiology CurrentSince Jun 1, 2024 Accepting new patients

Locations

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255

501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

Organizations & group practices 3

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 4

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753488000000",
    "number": "1437177920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 BLISSFIELD CT",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374192248",
            "telephone_number": "540-845-3506",
            "fax_number": "844-454-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 BLISSFIELD CT",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374192248",
            "telephone_number": "540-845-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-07-26",
        "certification_date": "2025-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101239695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437177920",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.