Joseph F Roberts MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

14339 Issued in MS

Legal business name

JOSEPH F ROBERTS MD PA

Practice address

1117 Sunset Dr
Suite 101
Grenada, MS 38901-4080

Phone

(662) 226-1168

Fax

(662) 226-1116

NPI assigned

Aug 5, 2007

Last updated

Apr 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Frank Roberts, M.D.NPI 1023129608

Title

Owner

Phone

(662) 226-1168

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/8ae75827-0f9b-457f-be6b-a17f2d896c19/

Practitioners 4

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.

• Joseph Frank Roberts, M.D.

  • Internal Medicine Physician
  • Grenada, MS
  • NPI 1023129608
  Medicare reassignment Care Compare group NPD Authorized official
• Dustin Kelly, FNP-C

  • Family Nurse Practitioner
  • Grenada, MS
  • NPI 1942987664
  Medicare reassignment Care Compare group NPD
• Jessica Heath Alldread, FNP

  • Family Nurse Practitioner
  • Grenada, MS
  • NPI 1295281384
  NPD
• James K Stanford, M.D.

  • Family Medicine Physician
  • Grenada, MS
  • NPI 1033220512
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1629269709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 SUNSET DR",
            "address_2": "SUITE 101",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014080",
            "telephone_number": "662-226-1168",
            "fax_number": "662-226-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 SUNSET DR",
            "address_2": "SUITE 101",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014080",
            "telephone_number": "662-226-1168",
            "fax_number": "662-226-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH F ROBERTS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-226-1168",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "14339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John a Marascalco, MD, PA (Marascalco Dermatology Clinic)
• John H. Coleman,PLLC
• Nekesha Micole Johnson, FNP-BC
• Luanne Fair Pender Jones, PHARM. D.
• Charles Raymond Jordan, FNP
• Joseph S Messina Jr MD (Internal Medicine Clinic Of Grenada)
• Alwin Max Juchheim III, DPM
• JWM Therapy Services (JWM Pediatric Therapy)
• K Squared, Inc. (Kringle Dentistry)
• Karen Plunkett, M.D.PC

• Internal Medicine Physician in Grenada, MS
• Providers in Grenada, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.