Individual provider Active NPI

Christopher Roberts, M.D.

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1912978149
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME0069788 Issued in FL
Practice address
5191 First Coast Tech Pkwy
3Rd Floor
Jacksonville, FL 32224-0609
Phone
(904) 223-3321
Fax
(904) 223-2169
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME006978 FL
Interventional Pain Medicine Physician 208VP0014X ME0069788 FL Primary

Addresses

Primary practice location

5191 First Coast Tech Pkwy
3Rd Floor
Jacksonville, FL 32224-0609

Mailing address

5191 First Coast Tech Pkwy
3Rd Floor
Jacksonville, FL 32224-0609
Phone (904) 223-3321

Other practice location 1

10475 Centurion Pkwy N Ste 201
Jacksonville, FL 32256-5004
Phone (904) 223-3321

Other identifiers 2

IdentifierTypeStateIssuer
379234000MedicaidFL
28450OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040408001623 FL Practitioner - Anesthesiology 3173517570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Colorado School of Medicine, Denver, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nokomis Physical Therapy LLCGroup PAC ID 8628240843, 104 clinicians
Jacksonville Spine Center PAGroup PAC ID 6901890300, 38 clinicians

Practice addresses (Care Compare)

109 Laurel Rd E
Nokomis, FL 34275-5233
Phone (941) 375-8734

5191 1St Coast Tech Pkwy
FL 3
Jacksonville, FL 32224-0609
Phone (904) 223-3321

Hospital & facility affiliations

  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Ascension St Vincent'S St Johns County Hospital, St. Johns, FL, CCN 100361
  • Brooks Rehabilitation Hospital University Campus Inpatient rehabilitation facility, Jacksonville, FL, CCN 103039

Merit-based Incentive Payment System (MIPS)

Final score
80.97 of 100Reported as group
Quality
70.19
Promoting interoperability
98
Improvement activities
40
Cost
68.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME006978FLMDPain Medicine (Anesthesiology) Physician
ME0069788FLMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Spine Center PA Interventional Pain Medicine CurrentSince Jan 1, 2004 Accepting new patients
Centurion Surgery Center of Waycross LLC Current Accepting new patients
Jacksonville Spine Center PA Pain Medicine CurrentSince Jan 1, 2004 Accepting new patients
Consultants in Pain Medicine, LLC Interventional Pain Medicine PastSince May 13, 2021 Accepting new patients
Georgia Spine & Pain Centers Interventional Pain Medicine Past Accepting new patients
Christian L Koppel MD PA Past Accepting new patients
Florida Anesthesia Associates P a Past Accepting new patients

Locations

1699 S 14th St
Ste 16
Fernandina Beach, FL 32034
Phone (904) 491-7700

2349 Village Square Pkwy
Ste 107
Fleming Island, FL 32003
Phone (904) 257-0060

10475 Centurion Pkwy N
Ste 201
Jacksonville, FL 32256
Phone 90422333213118

15255 Max Leggett Pkwy
Ste 5500
Jacksonville, FL 32218

2550 Park St
Ste B
Jacksonville, FL 32204
Phone (904) 280-6701

5191 First Coast Tech Pkwy
Fl 3
Jacksonville, FL 32224
Phone (904) 222-3332

13400 Sutton Park Dr S
Ste 1301
Jacksonville, FL 32224
Phone (904) 821-1002

5191 First Coast Tech Pkwy
Jacksonville, FL 32224
Phone (904) 427-7399

765 Mill Creek Rd
Jacksonville, FL 32211
Phone (904) 724-6321

1351 13th Ave S
Ste 120
Jax Bch, FL 32250
Phone (904) 257-4020

1100 Plantation Island Dr S
Ste 220
Saint Augustine, FL 32080
Phone (904) 436-6420

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: christopher.roberts@jspc.eclinicaldirectplus.com

Organizations & group practices 8

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 5

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1912978149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5191 FIRST COAST TECH PKWY",
            "address_2": "3RD FLOOR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240609",
            "telephone_number": "904-223-3321",
            "fax_number": "904-223-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5191 FIRST COAST TECH PKWY",
            "address_2": "3RD FLOOR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240609",
            "telephone_number": "904-223-3321",
            "fax_number": "904-223-2169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10475 Centurion Pkwy N Ste 201",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322565004",
            "country_code": "US",
            "telephone_number": "904-223-3321",
            "fax_number": "904-223-2169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME006978",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME0069788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379234000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28450",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.