Individual provider Active NPI

John W Roth, MD

  • Specialist
  • Anniston, AL
National Provider Identifier
1881661031
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
29113 Issued in AL
Practice address
171 Town Center Drive
Anniston, AL 36205
Phone
(256) 237-1624
Fax
(256) 241-2277
NPI assigned
Mar 7, 2006
Last updated
May 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 29113 AL Primary
Surgery Physician 208600000X 2015008450 MO
Surgery Physician 208600000X 34184 IA
Surgery Physician 208600000X 036105151 IL
Surgery Physician 208600000X 2015-00054 NC

Addresses

Primary practice location

171 Town Center Drive
Anniston, AL 36205

Mailing address

P.O. Box 5430
Anniston, AL 36205
Phone (256) 237-1624

Other identifiers 1

IdentifierTypeStateIssuer
1881661031MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20260331001360 AL Practitioner - General Surgery 0547258618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Alabama School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Surgical Clinic of Anniston PAGroup PAC ID 2365337128, 6 clinicians

Practice addresses (Care Compare)

111 Town Ctr Dr
Anniston, AL 36205-4101
Phone (256) 241-1624

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29113ALMDSpecialist
34184IAMDSurgery Physician
2015008450MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Surgical Clinic of Anniston, PA Specialist CurrentSince Oct 16, 2022 Accepting new patients
Intellimed Solutions, LLC PastSince Feb 18, 2026 Accepting new patients
Passavant Memorial Area Hospital Association Past Accepting new patients
Longleaf Primary Care, LLC PastSince Jun 26, 2022 Accepting new patients
Midwest Heart and Vein Center, LLC Past Accepting new patients
Springfield Clinic, LLP Past Accepting new patients
General Surgery Associates, LLC Surgery Past Accepting new patients

Locations

111 Town Center Dr
Anniston, AL 36205
Phone (256) 237-1624

171 Town Center Dr
Anniston, AL 36205
Phone (256) 241-5470

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 1

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1881661031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5430",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "36205",
            "telephone_number": "256-237-1624",
            "fax_number": "256-238-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 TOWN CENTER DRIVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "36205",
            "telephone_number": "256-237-1624",
            "fax_number": "256-241-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "29113",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2015008450",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "34184",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036105151",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2015-00054",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881661031",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.