Active NPI
J. Gregory Roberts, MD, RVT, PC Dba Mantle Clinic III
- Specialist
- Knoxville, TN
National Provider Identifier
1609075464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 37706
- Legal business name
- J. GREGORY ROBERTS, MD, RVT, PC DBA MANTLE CLINIC III
- Practice address
- 10810 Parkside Dr Ste 309
Knoxville, TN 37934-1986 - Phone
- (865) 218-6244
- Fax
- (865) 218-6245
- NPI assigned
- Jul 12, 2007
- Last updated
- Nov 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara Ann Freels
- Title
- Practice Manager
- Phone
- (865) 218-6244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 37706 | TN | Primary |
Addresses
Primary practice location
10810 Parkside Dr Ste 309
Knoxville, TN 37934-1986
Mailing address
10810 Parkside Dr Ste 309
Knoxville, TN 37934-1986
Phone (865) 218-6244
National Provider Directory
National Provider Directory- Tax ID family
- J Gregory Roberts MD RVT
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Tacoma, WA
- NPI 1184897332
-
- Vascular Surgery Physician
- Modesto, CA
- NPI 1356346936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289865600000",
"number": "1609075464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10810 PARKSIDE DR STE 309",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379341986",
"telephone_number": "865-218-6244",
"fax_number": "865-218-6245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10810 PARKSIDE DR STE 309",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379341986",
"telephone_number": "865-218-6244",
"fax_number": "865-218-6245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J. GREGORY ROBERTS, MD, RVT, PC DBA MANTLE CLINIC III",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-12",
"last_updated": "2010-11-16",
"status": "A",
"authorized_official_last_name": "FREELS",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "865-218-6244"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TN",
"license": "37706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
- Michael Ray Ivy
- J Benjamin Rivers DMD PC
- J. C. Dow, Inc. (Tennessee Hearing Instruments, Inc.)
- J. Caroline Haney-Weaver, M.D.
- J. Gregory Roberts MD RVT (Mantle Clinic III)
- J. Sidney Alexander, M.D., P.C.
- J.T. Major DDS PC
- J.W. Carell Enterprises, LLC (CareAll Home Care Services, LLC)
- J&R Transportation
- Jack Scariano Jr MD PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.