Mark a Roberts MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MARK A ROBERTS MD PC

Doing business as

Gerald Roberts Castleberry Clinic
Roberts Clinic

Practice address

106 Edwina St
Evergreen, AL 36401-3319

Phone

(251) 578-4300

Fax

(251) 578-4307

NPI assigned

Dec 27, 2006

Last updated

Jun 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Powell

Title

Clinic Manager

Phone

(251) 578-4300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Gerald Roberts Castleberry Clinic Doing business as
• Roberts Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Whitley Roberts Harper, FNP-BC

  • Family Nurse Practitioner
  • Evergreen, AL
  • NPI 1528653409
  Medicare reassignment Care Compare group NPD
• Jessica Roberts Pierce, NP-C

  • Family Nurse Practitioner
  • Evergreen, AL
  • NPI 1063918118
  Medicare reassignment Care Compare group NPD
• Mark A Roberts, MD

  • Family Medicine Physician
  • Evergreen, AL
  • NPI 1275565442
  Medicare reassignment Care Compare group NPD
• Alexander James Kieger, M.D.

  • Vascular & Interventional Radiology Physician
  • Las Vegas, NV
  • NPI 1508120874
  NPD

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1952466211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 EDWINA STREET",
            "city": "EVERGREEN",
            "state": "AL",
            "postal_code": "36401",
            "telephone_number": "251-578-4300",
            "fax_number": "251-578-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 EDWINA ST",
            "city": "EVERGREEN",
            "state": "AL",
            "postal_code": "364013319",
            "telephone_number": "251-578-4300",
            "fax_number": "251-578-4307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11766 County Road 6",
            "address_purpose": "LOCATION",
            "city": "Castleberry",
            "state": "AL",
            "postal_code": "364325116",
            "country_code": "US",
            "telephone_number": "251-966-5210",
            "fax_number": "251-220-5163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARK A ROBERTS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "251-578-4300"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529932932",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gerald Roberts Castleberry Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roberts Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Harrison
• Helen Scharko, M.D. , LLC
• Julie Hightower, M.S.
• In Dees' Loving Hands, LLC
• Monica Davis Johnson, LPN
• Albert Miller McManus II
• Med-South, Inc.
• Shundrea Montgomery, MSW
• Jamie L Murphy, MSW
• Candace Bullard Nelson, M.S.

• Family Medicine Physician in Evergreen, AL
• Providers in Evergreen, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.