Ronald Brent Roberts, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

860-L Issued in MS

Practice address

2466 Flowood Dr
Suite E
Flowood, MS 39232-9019

Phone

(601) 815-5700

Fax

(601) 815-5795

NPI assigned

Jul 2, 2012

Last updated

Apr 15, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Sunflower Medical CenterGroup PAC ID 7618932294, shared by 11 NPIs, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vitalcaring Group Home health agency, Cleveland, MS, CCN 257016
• Adoration Home Health Care Mississippi Home health agency, Cleveland, MS, CCN 257305
• North Sunflower Medical Center Cah Hospital, Ruleville, MS, CCN 251318
• Bolivar Medical Center Hospital, Cleveland, MS, CCN 250093
• North Sunflower Medical Center Cah Nursing home, CCN 25Z318

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ronaldroberts@nsfmc.allscriptsdirect.net

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.

• North Sunflower Medical Center

  • Critical Access Hospital
  • Ruleville, MS
  • NPI 1508913609
  Medicare reassignment NPD
• North Sunflower Medical Center

  dba Cleveland Medical Clinic

  • Family Medicine Physician
  • Cleveland, MS
  • NPI 1891705133
  Medicare reassignment NPD
• North Sunflower Medical Center

  dba NSMC Pro Fees

  • Hospitalist Physician
  • Ruleville, MS
  • NPI 1013128644
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Home Health Care Services II, Inc.

  dba Adoration Home Health Care Mississippi

  • Home Health Agency
  • Cleveland, MS
  • NPI 1487639548
  Care Compare affiliation
• North Sunflower Medical Center

  • Critical Access Hospital
  • Ruleville, MS
  • NPI 1508913609
  Care Compare affiliation
• North Sunflower Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Ruleville, MS
  • NPI 1548488224

  Nursing home

  Care Compare affiliation
• PHC-Cleveland LLC

  dba Bolivar Medical Center

  • General Acute Care Hospital
  • Cleveland, MS
  • NPI 1457321036
  Care Compare affiliation
• Ways, LLC

  dba VitalCaring Group

  • Home Health Agency
  • Cleveland, MS
  • NPI 1215244017
  Care Compare affiliation

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1730443078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2466 FLOWOOD DR",
            "address_2": "SUITE E",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329019",
            "telephone_number": "601-815-5700",
            "fax_number": "601-815-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2466 FLOWOOD DR",
            "address_2": "SUITE E",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329019",
            "telephone_number": "601-815-5700",
            "fax_number": "601-815-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "RONALD",
        "middle_name": "BRENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "860-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Rives, N.P.
• Amanda Brooke Roach, PMHNP-BC
• Kenny K Robbins, MD
• Lauren Elizabeth Roberts, DPT
• Lindsey Roberts, FNP
• John Houston Robertson, PT, DPT
• Leigh Robertson, PT
• Kerry Robinson
• Tammy L Robinson, FNP-C
• Jenny Lynn Rogers Dearman, MSN, APRN, FNP-BC

• Family Medicine Physician in Flowood, MS
• Providers in Flowood, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.