Individual provider Active NPI

Solena L Roberts, M.S., PA-C

  • Medical Physician Assistant
  • Parsons, WV
National Provider Identifier
1881765667
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
01229 Issued in WV
Practice address
RR 1 Box 208
Parsons, WV 26287-9509
Phone
(304) 478-3339
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 01229 WV Primary

Addresses

Primary practice location

RR 1 Box 208
Parsons, WV 26287-9509

Mailing address

PO Box 19
Hendricks, WV 26271-0019
Phone (304) 478-3635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20070205000079 WV Practitioner - Physician Assistant 7012919004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St George Medical Clinic IncGroup PAC ID 7911996244, 15 clinicians

Practice addresses (Care Compare)

6368 Appalachian Hwy
Davis, WV 26260-8271
Phone (304) 478-3339

8591 Holly Meadows Rd
Parsons, WV 26287-8604
Phone (304) 478-3339

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1229WVMDSpeech-Language Pathologist
01229WVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St George Medical Clinic Inc PastSince Mar 20, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: solenaroberts@sgmci.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St George Medical Clinic IncParsons, WV, CCN 511800 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jan 2, 2020
Jan 2, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 4

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881765667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19",
            "city": "HENDRICKS",
            "state": "WV",
            "postal_code": "262710019",
            "telephone_number": "304-478-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 208",
            "city": "PARSONS",
            "state": "WV",
            "postal_code": "262879509",
            "telephone_number": "304-478-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SOLENA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "M.S., PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "01229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsons, WV

Sources for this page

Verify at the official NPI Registry.