Individual provider Active NPI

Haley Roberts, MD

  • Family Medicine Physician
  • Headland, AL
National Provider Identifier
1912694068
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
50571 Issued in AL
Practice address
204 Holman Dr
Headland, AL 36345-2307
Phone
(334) 693-3336
Fax
(334) 693-2553
NPI assigned
Apr 19, 2023
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 50571 AL Primary

Addresses

Primary practice location

204 Holman Dr
Headland, AL 36345-2307

Mailing address

204 Holman Dr
Headland, AL 36345-2307
Phone (334) 693-3336

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
I20260518000044 AL Practitioner - Family Practice 9537520499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

204 Holman Dr
Headland, AL 36345-2307

2101 Highland Ave S
Suite 300
Birmingham, AL 35205-4009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50571ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Niel C Rasmussen MD PC Family Medicine CurrentSince May 1, 2026 Accepting new patients

Locations

204 Holman Dr
Headland, AL 36345
Phone (334) 693-3336

Interoperability endpoints

  • Direct secure messaging: haley.roberts.1@11347.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1912694068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 HOLMAN DR",
            "city": "HEADLAND",
            "state": "AL",
            "postal_code": "363452307",
            "telephone_number": "334-693-3336",
            "fax_number": "334-693-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 HOLMAN DR",
            "city": "HEADLAND",
            "state": "AL",
            "postal_code": "363452307",
            "telephone_number": "334-693-3336",
            "fax_number": "334-693-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "HALEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "50571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Headland, AL

Sources for this page

Verify at the official NPI Registry.