Individual provider Active NPI

Theresia Lynn Roach, FNP-C

  • Family Nurse Practitioner
  • Florence, AL
National Provider Identifier
1851789598
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3-000314 Issued in AL
Practice address
180 Cox Creek Pkwy S Ste B
Florence, AL 35630-3263
Phone
(256) 760-0422
Fax
(256) 284-6065
NPI assigned
Jan 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 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 3-000314 AL Primary

Addresses

Primary practice location

180 Cox Creek Pkwy S Ste B
Florence, AL 35630-3263

Mailing address

PO Box 18428
Huntsville, AL 35804-8428
Phone (256) 705-4224

Other practice location 1

101 Blake Ave
Muscle Shoals, AL 35661-1207
Phone (256) 760-0422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL, MS3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150928000903 TN Practitioner - Nurse Practitioner 4284942152 Reassigns benefits to 2 organizations
I20160129000963 AL Practitioner - Nurse Practitioner 4284942152 Reassigns benefits to 1 organization
I20230824003305 MS Practitioner - Nurse Practitioner 4284942152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology Specialties, P.C.Group PAC ID 1254328495, 108 clinicians
Healogics Specialty Physicians of Mississippi LLCGroup PAC ID 5496052904, 10 clinicians

Practice addresses (Care Compare)

180 Cox Creek Pkwy S
Suite B
Florence, AL 35630-3263
Phone (256) 705-4224

400 Hospital Rd
FL 3
Starkville, MS 39759-2163
Phone (662) 615-2791

Hospital & facility affiliations

  • Magnolia Regional Health Center HH & Hospice Agency Home health agency, Corinth, MS, CCN 257117
  • Centerwell Home Health Home health agency, Tupelo, MS, CCN 257303
  • Magnolia Regional Health Center Hospital, Corinth, MS, CCN 250009

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Regional Health Center Current Accepting new patients
Magnolia Regional Health Center CurrentSince Aug 14, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 7, 2015 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Healogics Specialty Physicians of Mississippi, LLC CurrentSince Jul 15, 2023 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 7, 2015 Accepting new patients
Magnolia Regional Health Center CurrentSince Aug 14, 2023 Accepting new patients
Hardin Emergency Group LLC CurrentSince Apr 1, 2018 Accepting new patients
Oncology Specialties, P.C. CurrentSince Mar 23, 2026 Accepting new patients
Hamilton Family Urgent Care, Inc PastSince May 25, 2025 Accepting new patients

Locations

180 Cox Creek Pkwy S
Ste B
Florence, AL 35630
Phone (256) 760-0422

101 Dr W H Blake Jr Dr
Muscle Shoals, AL 35661
Phone (256) 381-1001

611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961

400 Hospital Rd
Fl 3
Starkville, MS 39759
Phone (662) 615-2791

935 Wayne Rd
Savannah, TN 38372
Phone (731) 925-4954

1860 Wayne Rd
Savannah, TN 38372
Phone (731) 926-4222

203 S High St
Waynesboro, TN 38485
Phone (931) 722-9099

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1851789598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18428",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358048428",
            "telephone_number": "256-705-4224",
            "fax_number": "256-705-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 COX CREEK PKWY S STE B",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356303263",
            "telephone_number": "256-760-0422",
            "fax_number": "256-284-6065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Blake Ave",
            "address_purpose": "LOCATION",
            "city": "Muscle Shoals",
            "state": "AL",
            "postal_code": "356611207",
            "country_code": "US",
            "telephone_number": "256-760-0422",
            "fax_number": "256-284-6065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROACH",
        "first_name": "THERESIA",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-000314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.