Active NPI
Richard Allen Roller, MD, PHD
- General Practice Physician
- Enterprise, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 29971
- Practice address
- 805 E Lee St
Suite C
Enterprise, AL 36330-2368 - Phone
- (334) 348-8818
- Fax
- (334) 393-8773
- NPI assigned
- Apr 26, 2006
- Last updated
- Nov 20, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 29971 | AL | |
| Aerospace Medicine Physician | 2083A0100X | 29971 | AL | |
| General Practice Physician | 208D00000X | 29971 | AL | Primary |
Addresses
Primary practice location
805 E Lee St
Suite C
Enterprise, AL 36330-2368
Mailing address
805 E Lee St
Suite C
Enterprise, AL 36330-2368
Phone (334) 348-8818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Contracting Services LLC | Current | Accepting new patients | |
| Andalusia Physician Practices LLC | Current | Accepting new patients | |
| Andalusia Physician Practices LLC | Current | Accepting new patients | |
| Andalusia Physician Practices LLC | Current | Accepting new patients | |
| Southern Alabama Physicians LLP | Current | Accepting new patients | |
| Enterprise Clinic LLC | Current | Accepting new patients | |
| Southern Alabama Physicians,LLP | Current | Accepting new patients | |
| Inphynet Contracting Services LLC | Past | Accepting new patients | |
| Andalusia Professional Services LLC | Past | Accepting new patients |
Locations
301 Medical Ave
Ste C
Andalusia, AL 36420
Phone (334) 222-1211
849 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-8466
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
101 E Brunson St
Ste 110
Enterprise, AL 36330
Phone (334) 347-9355
400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584
805 E Lee St
Ste C
Enterprise, AL 36330
Phone (334) 348-8818
75 Remit Dr
Chicago, IL 60675
Interoperability endpoints
- https://api.platform.athenahealth.com/19364/brand/1/csg/21/fhir/r4
Organizations & group practices 10
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.
-
dba Andalusia Neurology
- Neurology Physician
- Andalusia, AL
- NPI 1437202009
-
- Family Medicine Physician
- Enterprise, AL
- NPI 1639491616
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1225071459
-
- Emergency Medicine Physician
- Dothan, AL
- NPI 1467701490
-
- Emergency Medicine Physician
- Anniston, AL
- NPI 1750062527
-
dba Andalusia Orthopedics
- Orthopaedic Surgery Physician
- Andalusia, AL
- NPI 1306131834
-
dba Andalusia Family Healthcare
- Rural Health Clinic/Center
- Andalusia, AL
- NPI 1417663576
-
- Emergency Medicine Physician
- Enterprise, AL
- NPI 1649696378
-
- Emergency Medicine Physician
- Andalusia, AL
- NPI 1649726001
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447977600000",
"number": "1487610564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 E LEE ST",
"address_2": "SUITE C",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363302368",
"telephone_number": "334-348-8818",
"fax_number": "334-393-8773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 E LEE ST",
"address_2": "SUITE C",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363302368",
"telephone_number": "334-348-8818",
"fax_number": "334-393-8773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLER",
"first_name": "RICHARD",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2015-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "AL",
"license": "29971",
"primary": false
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "AL",
"license": "29971",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AL",
"license": "29971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Enterprise, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.