Individual provider Active NPI

Erin Kathleen Roberts, NP-C

  • Family Nurse Practitioner
  • Hattiesburg, MS
National Provider Identifier
1942761382
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903181 Issued in MS
Practice address
100 Methodist Blvd
Hattiesburg, MS 39402
Phone
(601) 268-5185
Fax
(601) 268-5006
NPI assigned
Mar 28, 2019
Last updated
Aug 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903181 MS Primary

Addresses

Primary practice location

100 Methodist Blvd
Hattiesburg, MS 39402

Mailing address

100 Methodist Blvd
Hattiesburg, MS 39402-1295
Phone (601) 268-5185

Other practice location 1

1272 Evelyn Gandy Pkwy Ste 60
Petal, MS 39465-3953
Phone (601) 336-5393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20191017002775 MS Practitioner - Nurse Practitioner 7719218007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Associates PAGroup PAC ID 5294795241, 45 clinicians

Practice addresses (Care Compare)

100 Methodist Blvd
Hattiesburg, MS 39402-1295
Phone (601) 268-5185

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.9 of 100Reported as group
Quality
47.44
Promoting interoperability
98
Improvement activities
40
Cost
77.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Associates, P.a. Current Accepting new patients
Gastrointestinal Associates, P.a. CurrentSince Apr 1, 2022 Accepting new patients
Gastrointestinal Associates, PA CurrentSince Apr 1, 2022 Accepting new patients
Gi Alliance Anesthesia of Mississippi PLLC CurrentSince Mar 6, 2024 Accepting new patients
Digestive Diseases Center of Hattiesburg, LLC Past Accepting new patients
Petal Urgent Care LLC PastSince Apr 9, 2011 Accepting new patients

Locations

100 Methodist Hospital Blvd
Hattiesburg, MS 39402
Phone (601) 268-5185

1421 N State St
Ste 203
Jackson, MS 39202
Phone (601) 355-1234

Organizations & group practices 6

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1942761382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 METHODIST BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021295",
            "telephone_number": "601-268-5185",
            "fax_number": "601-268-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 METHODIST BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "telephone_number": "601-268-5185",
            "fax_number": "601-268-5006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1272 Evelyn Gandy Pkwy Ste 60",
            "address_purpose": "LOCATION",
            "city": "Petal",
            "state": "MS",
            "postal_code": "394653953",
            "country_code": "US",
            "telephone_number": "601-336-5393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ERIN",
        "middle_name": "KATHLEEN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.