Roby Taylor Myers, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

0104-557517 Issued in VA

Practice address

204 N Main St
Blackstone, VA 23824-1426

Phone

(434) 298-0707

Fax

(434) 298-0708

NPI assigned

Oct 14, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• East Coast Elite Chiropractic PLC

  • Sports Physician Chiropractor
  • Blackstone, VA
  • NPI 1477025393
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1539475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539475200000",
    "number": "1982170221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N MAIN ST",
            "city": "BLACKSTONE",
            "state": "VA",
            "postal_code": "238241426",
            "telephone_number": "434-298-0707",
            "fax_number": "434-298-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N MAIN ST",
            "city": "BLACKSTONE",
            "state": "VA",
            "postal_code": "238241426",
            "telephone_number": "434-298-0707",
            "fax_number": "434-298-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "ROBY",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-14",
        "last_updated": "2018-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104-557517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratory Corporation of America Holdings
• Shantel Latta, FNP-C
• Allison Noel Lee, NP
• Madalyn Rose Lee, MD
• Kelly Myers, LCSW
• Nottoway Innovative Medical Solutions
• Nikhila N Pai
• Phillip D Prater DDD PLLC
• Gabrielle Tiarra Qahhar, NP-C
• Mark George Reitz, D.D.S.

• Sports Physician Chiropractor in Blackstone, VA
• Providers in Blackstone, VA by specialty
• Sports Physician Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2018; 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.