Jarrod Stewart Roberts, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29094 Issued in AL

Practice address

2415 Moores Mill Rd
Suite 230
Auburn, AL 36830-8480

Phone

(334) 502-1117

Fax

(334) 466-2101

NPI assigned

Oct 3, 2006

Last updated

Sep 6, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Breezemed Urgent Care LLCGroup PAC ID 9335520790, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Breezemed Urgent Care LLC

  • Urgent Care Clinic/Center
  • Naples, FL
  • NPI 1649937715
  Medicare reassignment Care Compare group NPD Authorized official
• Medrite 41 LLC

  • Family Medicine Physician
  • Miami Beach, FL
  • NPI 1134629389
  Medicare reassignment NPD
• Patient First Urgent Care LLC

  • Urgent Care Clinic/Center
  • Auburn, AL
  • NPI 1316268758
  Authorized official Same address or phone
• Auburn Urgent Care, Inc

  • Family Medicine Physician
  • Auburn, AL
  • NPI 1972692986
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1659466100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MOORES MILL RD",
            "address_2": "SUITE 230",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368308480",
            "telephone_number": "334-502-1117",
            "fax_number": "334-466-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MOORES MILL RD",
            "address_2": "SUITE 230",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368308480",
            "telephone_number": "334-502-1117",
            "fax_number": "334-466-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JARROD",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "L.2713",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "L-2713",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "29094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Knox Riddle, PA
• Harrison Riggs
• Camille Barnett Rivenbark, PHARMACIST
• Laura Robbins, PHARMACIST
• James Michael Roberts, A.T.,C.
• Tarryn Roberts
• Joseph Cole Robertson
• Jodi Christiane Robeson, BCBA, LBA
• Eric Robinson, M.D.
• Laura Robinson

• Family Medicine Physician in Auburn, AL
• Providers in Auburn, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.
• 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.