Active NPI
William Joseph Roberts, MD PHD
- General Practice Physician
- Kingston, TN
National Provider Identifier
1689618886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD015025
- Practice address
- 1445 Kingston Way
Kingston, TN 37763 - Phone
- (865) 376-6518
- Fax
- (865) 376-9544
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD015025 | TN | Primary |
Addresses
Primary practice location
1445 Kingston Way
Kingston, TN 37763
Mailing address
PO Box 550
Kingston, TN 37763
Phone (865) 376-6518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD015025 | TN | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1689618886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 550",
"city": "KINGSTON",
"state": "TN",
"postal_code": "37763",
"telephone_number": "865-376-6518",
"fax_number": "865-376-9544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 KINGSTON WAY",
"city": "KINGSTON",
"state": "TN",
"postal_code": "37763",
"telephone_number": "865-376-6518",
"fax_number": "865-376-9544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "WILLIAM",
"middle_name": "JOSEPH",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TN",
"license": "MD015025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingston, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.