Robert Nottingham, D.O.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

0102204598 Issued in VA

Practice address

6801 Roosevelt Ave
Jacksonville, FL 32212

Phone

(904) 542-2338

NPI assigned

Jan 26, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL, AZ, SC, NC4 enrollments

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 4

Specialty

Diagnostic Radiology

Education

Lake Erie College of Osteopathic Medicine, Bradenton, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians

Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Southeastern Regional Medical CenterGroup PAC ID 7315857141, 54 clinicians

Banner Imaging Services LLCGroup PAC ID 1850724386, 122 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unc Health Nash Hospital, Rocky Mount, NC, CCN 340147
• Southeastern Regional Medical Center Hospital, Lumberton, NC, CCN 340050
• Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
• Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089
• Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations (25 of 30)

Interoperability endpoints

• Direct secure messaging: rnottingham1478593@direct.unc.nchie.net

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.

• Banner Imaging Services LLC

  • Diagnostic Radiology Physician
  • Sun City, AZ
  • NPI 1770139958
  Medicare reassignment Care Compare group NPD
• Sonoran Radiology LTD

  • Vascular & Interventional Radiology Physician
  • Mesa, AZ
  • NPI 1033745708

  Diagnostic Radiology, FL, NC

  Medicare reassignment Care Compare group NPD
• Unc Physicians Network LLC

  • Family Medicine Physician
  • Pittsboro, NC
  • NPI 1750704367
  Medicare reassignment Care Compare group NPD
• Southeastern Regional Medical Center

  • Clinic/Center
  • Lumberton, NC
  • NPI 1154399699
  Medicare reassignment Care Compare group
• Associated Valley Radiologists LTD

  • Diagnostic Radiology Physician
  • Glendale, AZ
  • NPI 1932683257

  FL

  Medicare reassignment NPD
• McLeod Health Cheraw

  • Certified Registered Nurse Anesthetist
  • Cheraw, SC
  • NPI 1275912974
  Medicare reassignment NPD
• McLeod Health Clarendon

  • Certified Registered Nurse Anesthetist
  • Manning, SC
  • NPI 1508218793
  Medicare reassignment NPD
• McLeod Loris Seacoast Hospital

  • Certified Registered Nurse Anesthetist
  • Loris, SC
  • NPI 1265708119
  Medicare reassignment NPD
• McLeod Medical Center-Dillon

  • Hospitalist Physician
  • Dillon, SC
  • NPI 1720033988
  Medicare reassignment NPD
• McLeod Regional Medical Center of the Pee Dee, Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Florence, SC
  • NPI 1154371433
  Medicare reassignment NPD
• Banner Imaging Services LLC

  • Radiology Clinic/Center
  • Phoenix, AZ
  • NPI 1518713262
  NPD
• Banner Imaging Services LLC

  • Radiology Clinic/Center
  • Phoenix, AZ
  • NPI 1710733472
  NPD

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

• Banner del E Webb Medical Center

  • General Acute Care Hospital
  • Sun City West, AZ
  • NPI 1588823553
  Care Compare affiliation
• Banner Desert Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1720011810
  Care Compare affiliation
• Banner Thunderbird Medical Center

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1154355188
  Care Compare affiliation
• Nash Hospitals Inc

  • General Acute Care Hospital
  • Rocky Mount, NC
  • NPI 1619969219
  Care Compare affiliation
• Southeastern Regional Medical Center

  • General Acute Care Hospital
  • Lumberton, NC
  • NPI 1427030774
  Care Compare affiliation

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1871983007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 ROOSEVELT BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322121192",
            "telephone_number": "904-542-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 ROOSEVELT AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32212",
            "telephone_number": "904-542-2338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W 27th St",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283583075",
            "country_code": "US",
            "telephone_number": "910-671-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOTTINGHAM",
        "first_name": "ROBERT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-26",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0102204598",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2025-02814",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rnottingham1478593@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "300 W 27th St",
            "city": "Lumberton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283583075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Norwood
• Noel Nicholas Nosse, OTRL
• Nosshey F Hanna MD PA
• John Folsom Noteware III, LCSW, LMSW
• Kaitlyn Grace Nott
• Robert Irving Nottingham, PHYSICIAN ASSISTANT
• Eric William Nottmeier, MD
• Asim Nouman, M.D
• Naji Nouneh, M.D.
• Nourish Foot Care LLC

• Diagnostic Radiology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.