Individual provider Active NPI

Jessica Crowe Roberts, FNP-BC

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1659630945
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
37063 Issued in TN
Practice address
1062 Forsyth St
Suite 1-B
Macon, GA 31201-8637
Phone
(478) 743-7068
Fax
(478) 741-1354
NPI assigned
May 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 111697-23 NH
Family Nurse Practitioner 363LF0000X 111697-23 NH
Family Nurse Practitioner 363LF0000X 37063 TN Primary
Family Nurse Practitioner 363LF0000X RN180140 GA

Addresses

Primary practice location

1062 Forsyth St
Suite 1-B
Macon, GA 31201-8637

Mailing address

1062 Forsyth St
Suite 1-B
Macon, GA 31201-8637
Phone (478) 743-7068

Other practice location 1

1915 White Ave
Knoxville, TN 37916-2300
Phone (865) 331-1720

Other practice location 2

3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-4904

Other practice location 3

1 Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NH, TN, TX4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20120814000509 GA Practitioner - Nurse Practitioner 0648426213 Reassigns benefits to 3 organizations
I20240628002932 NH Practitioner - Nurse Practitioner 0648426213 Reassigns benefits to 2 organizations
I20250131001750 TN Practitioner - Nurse Practitioner 0648426213 Reassigns benefits to 2 organizations
I20250602003370 TX Practitioner - Nurse Practitioner 0648426213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
37063TNMDPharmacist
RN180140GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cookeville Regional Medical Center CurrentSince Sep 15, 2024 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jun 19, 2024 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince May 12, 2025 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince May 12, 2025 Accepting new patients
Gwinnett Pathology Assoc PC Current Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Jun 19, 2024 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jul 28, 2025 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jun 19, 2024 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Jun 19, 2024 Accepting new patients
Thompson Oncology Group CurrentSince Mar 17, 2025 Accepting new patients
Gwinnett Medical Group, Inc Current Accepting new patients
Northside Hospital, Inc. CurrentSince May 4, 2019 Accepting new patients
Northside Hospital, Inc. CurrentSince May 4, 2019 Accepting new patients
Mary Hitchcock Memorial Hospital Current Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jul 28, 2025 Accepting new patients
Cookeville Regional Medical Center CurrentSince Sep 15, 2024 Accepting new patients
The Emory Clinic Inc CurrentSince Jul 28, 2025 Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

2098 Teron Trce
Ste 400
Dacula, GA 30019
Phone (678) 312-6800

3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294

631 Professional Dr
Ste 450
Lawrenceville, GA 30046
Phone (770) 963-8030

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

1700 Tree Ln
Ste 490
Snellville, GA 30078
Phone (770) 963-4445

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

140 W 7th St
Cookeville, TN 38501
Phone (931) 783-5582

1915 White Ave
Knoxville, TN 37916
Phone (423) 977-1065

Dept 888078
Knoxville, TN 37995

Interoperability endpoints

  • Direct secure messaging: jroberts1162138@direct.emory.org

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1659630945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST",
            "address_2": "SUITE 1-B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018637",
            "telephone_number": "478-743-7068",
            "fax_number": "478-741-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST",
            "address_2": "SUITE 1-B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018637",
            "telephone_number": "478-743-7068",
            "fax_number": "478-741-1354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1915 White Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379162300",
            "country_code": "US",
            "telephone_number": "865-331-1720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3073 White Mountain Hwy",
            "address_purpose": "LOCATION",
            "city": "North Conway",
            "state": "NH",
            "postal_code": "038607101",
            "country_code": "US",
            "telephone_number": "603-356-4904",
            "fax_number": "603-356-0842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037560001",
            "country_code": "US",
            "telephone_number": "603-650-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JESSICA",
        "middle_name": "CROWE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NH",
            "license": "111697-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "111697-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "37063",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN180140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.