David F. Roberts, MD
Organization Active NPI Family Medicine Physician · Diamondhead, MS
NPI 1770620403 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1770620403
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 11771 (MS)
- Legal business name
- DAVID F. ROBERTS, MD
- Practice address
- 5435 Gex Rd
Diamondhead, MS 39525-3208 - Phone
- (228) 255-4300
- Fax
- (228) 255-3626
- NPI assigned
- Jan 31, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Chele M Walley
- Title
- Billing Manager
- Phone
- (228) 255-4300
Practitioners 17
-
Ronnie Ali, DO
-
Tracy G Benzing, DPM
-
Theresa L Cuevas, C.F.N.P.
-
Mary E. Harris, CFNP
-
Kerry Lance Hesselrode, NURSE PRACTITIONER
-
Dana Jones Jurinka, CACNP
-
Teresa C Meece, FNP-C
-
Gary S. Porter, NP-C
-
Ann Reed, NP
-
Ashley Elizabeth Skaggs, CFNP
-
Shana Lesti Blakeney, CNFP
-
Lurline Chaney, CRNP
-
Sheena Roubique Newman, N.P.
-
Dandria T Wiley, NP
National Provider Directory
Locations
5435 Gex Rd
Diamondhead, MS 39525
Phone (228) 255-8216
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 11771 | MS | Yes |
Addresses
Primary practice location
5435 Gex Rd
Diamondhead, MS 39525-3208
Mailing address
PO Box 6130
Diamondhead, MS 39525-6002
Phone (228) 255-4300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09015329 | Medicaid | MS |
Other names
- Diamondhead Family Medicine
Other providers in Diamondhead, MS
- Lois Rose Calamusa
- Chamberlain Counseling Services LLC
- Cornelia Swayze, LCSW, LLC
- D and F Inc
- Thanh Dang
- Abigail Dearman
- Erin Adam Dewitt
- Diamondhead Health Mart Pharmacy,LLC
- Diamondhead Medicine, LLC
- Diamondhead Pharmacy & Gifts, Inc
All providers in Diamondhead, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.