Active NPI
James Michael Roberts, A.T.,C.
- Specialist
- Auburn, AL
National Provider Identifier
1467631531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 90
- Practice address
- 392 S Donahue Dr
Auburn, AL 36849-5321 - Phone
- (334) 844-9823
- Fax
- (334) 844-9850
- NPI assigned
- Oct 25, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 90 | AL | Primary |
Addresses
Primary practice location
392 S Donahue Dr
Auburn, AL 36849-5321
Mailing address
392 S Donahue Dr
Auburn, AL 36849-5321
Phone (334) 844-9823
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90 | Other | AL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90 | AL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1467631531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "392 S DONAHUE DR",
"city": "AUBURN",
"state": "AL",
"postal_code": "368495321",
"telephone_number": "334-844-9823",
"fax_number": "334-844-9850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "392 S DONAHUE DR",
"city": "AUBURN",
"state": "AL",
"postal_code": "368495321",
"telephone_number": "334-844-9823",
"fax_number": "334-844-9850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "A.T.,C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-25",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "90",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "90",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Auburn, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.