NPIMap

Individual provider Active NPI

Rowland M. Roberson, MD

  • Orthopaedic Surgery Physician
  • Tupelo, MS
National Provider Identifier
1619139474
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
T2131 Issued in MS
Practice address
1211 South Gloster
Suite a
Tupelo, MS 38801
Phone
(662) 767-4200
Fax
(662) 767-4204
NPI assigned
Jul 1, 2008
Last updated
Sep 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X T2131 MS Primary

Addresses

Primary practice location

1211 South Gloster
Suite a
Tupelo, MS 38801

Mailing address

1211 South Gloster
Suite a
Tupelo, MS 38801
Phone (662) 767-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140108000333 MS Practitioner - Orthopedic Surgery 8820239411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Mississippi School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1211 S Gloster St
Suite a
Tupelo, MS 38801-6548
Phone (662) 767-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement97
Knee replacement293

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T2131MSMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Current Accepting new patients
Specialty Orthopedic Group of Mississippi PLLC Orthopaedic Surgery CurrentSince Jun 25, 2015 Accepting new patients
Specialty Orthopedic Group of Mississippi PLLC Orthopaedic Surgery CurrentSince Jun 25, 2015 Accepting new patients
Southern Sports Medicine and Orthopaedic Center, P.C. Past Accepting new patients
North Mississippi Anesthesia, LLC PastSince Apr 1, 2019 Accepting new patients
Sog Surgery Center LLC PastSince Mar 1, 2020 Accepting new patients

Locations

100 Baptist Memorial Cir
Ste 330
Oxford, MS 38655
Phone 6627674200 ext. 1057

723 Concordia Ave
Oxford, MS 38655

1211 S Gloster St
Ste A
Tupelo, MS 38801
Phone (662) 377-3380

Interoperability endpoints

  • Direct secure messaging: rowlandroberson@nmhs.medalliesdirect.net

Organizations & group practices 7

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 8

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": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1619139474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 SOUTH GLOSTER",
            "address_2": "SUITE A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "38801",
            "telephone_number": "662-767-4200",
            "fax_number": "662-767-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 SOUTH GLOSTER",
            "address_2": "SUITE A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "38801",
            "telephone_number": "662-767-4200",
            "fax_number": "662-767-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "ROWLAND",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "T2131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.