Individual provider Active NPI

Catherine Roberts, FNP

  • Family Nurse Practitioner
  • Liberty, MS
National Provider Identifier
1730786377
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904044 Issued in MS
Practice address
102 W Freedom Dr
Liberty, MS 39645-7295
Phone
(601) 657-4326
Fax
(601) 657-8867
NPI assigned
Oct 7, 2020
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 904044 MS Primary

Addresses

Primary practice location

102 W Freedom Dr
Liberty, MS 39645-7295

Mailing address

PO Box 511
Liberty, MS 39645-0511
Phone (601) 657-4326

Other practice location 1

300 Rawls Dr Ste 1300
McComb, MS 39648-2866
Phone (601) 249-3541

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211005002859 MS Practitioner - Nurse Practitioner 1456762467 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Mississippi PLLCGroup PAC ID 3678832029, 192 clinicians

Practice addresses (Care Compare)

102 W Freedom Dr
Liberty, MS 39645-7295
Phone (601) 657-4326

1050 Hwy 98 Byp
Columbia, MS 39429-9190
Phone 93125311108053

305 Hill St
Ellisville, MS 39437-2521
Phone 93125311108053

50 Veterans Memorial Dr
Kosciusko, MS 39090-3424
Phone (662) 307-2884

517 City Ave S
Ripley, MS 38663-2517
Phone (662) 587-8206

533 Lake St
Hazlehurst, MS 39083-2217
Phone (931) 253-1110

760 Brookway Blvd
Brookhaven, MS 39601-2658
Phone (423) 662-7002

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amite County Medical Services, Inc. CurrentSince Sep 13, 2021 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 21, 2025 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Jun 1, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 21, 2025 Accepting new patients
Amite County Medical Services, Inc. CurrentSince Sep 13, 2021 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Jun 1, 2024 Accepting new patients
The Headache Center, PLLC Family PastSince Oct 1, 2020 Accepting new patients

Locations

2798 Pass Rd
Biloxi, MS 39531
Phone (228) 200-0340

760 Brookway Blvd
Brookhaven, MS 39601
Phone (601) 748-7270

1050 Highway 98 Byp
Columbia, MS 39429
Phone (601) 522-2095

3265 Highway 90
Gautier, MS 39553
Phone (228) 366-9136

7 Professional Pkwy
Ste 101
Hattiesburg, MS 39402
Phone (601) 781-1661

533 Lake St
Hazlehurst, MS 39083
Phone (601) 533-5253

1038 Northwest Ave
McComb, MS 39648
Phone (601) 730-7012

300 Rawls Dr
Ste 1300
McComb, MS 39648
Phone (601) 249-3541

508 Highway 61 N
Natchez, MS 39120
Phone (601) 861-1631

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

2059 Highway 61 N
Vicksburg, MS 39183
Phone (601) 429-1144

451 Highway 90
Waveland, MS 39576
Phone (228) 400-0055

1130 Frontage Dr W
Wiggins, MS 39577
Phone (601) 716-8012

Interoperability endpoints

  • Direct secure messaging: catherine.newman.1@22116.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22116/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1730786377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511",
            "city": "LIBERTY",
            "state": "MS",
            "postal_code": "396450511",
            "telephone_number": "601-657-4326",
            "fax_number": "601-657-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W FREEDOM DR",
            "city": "LIBERTY",
            "state": "MS",
            "postal_code": "396457295",
            "telephone_number": "601-657-4326",
            "fax_number": "601-657-8867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Rawls Dr Ste 1300",
            "address_purpose": "LOCATION",
            "city": "McComb",
            "state": "MS",
            "postal_code": "396482866",
            "country_code": "US",
            "telephone_number": "601-249-3541",
            "fax_number": "601-249-3544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CATHERINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MS

Sources for this page

Verify at the official NPI Registry.