Organization Active NPI

Roots & Ridge, PLLC

  • General Practice Physician
  • Sparta, NC
National Provider Identifier
1659233435
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ROOTS & RIDGE, PLLC
Practice address
665 S Main St Unit 206
Sparta, NC 28675-9618
Phone
(336) 372-1510
Fax
(336) 372-1512
NPI assigned
Dec 1, 2025
Last updated
Sep 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Tiffany Paige Hamm-Gentry
Title
Co Owner
Phone
(336) 372-1510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

665 S Main St Unit 206
Sparta, NC 28675-9618

Mailing address

2586 Scenic Valley Rd
Glade Valley, NC 28627-9491
Phone (336) 372-1510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260304002622 NC Part B Supplier - Clinic/Group Practice 7517449051 Receives reassigned benefits from 1 practitioner
Practice locations: Sparta, NC

National Provider Directory

National Provider Directory

Locations

665 S Main St
Unit 206
Sparta, NC 28675
Phone (336) 372-1510

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1659233435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2586 SCENIC VALLEY RD",
            "city": "GLADE VALLEY",
            "state": "NC",
            "postal_code": "286279491",
            "telephone_number": "336-372-1510",
            "fax_number": "336-372-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 S MAIN ST UNIT 206",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286759618",
            "telephone_number": "336-372-1510",
            "fax_number": "336-372-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS & RIDGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-01",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "HAMM-GENTRY",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "336-372-1510"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.