Active NPI
George Tracy Roberts, MSSW
- Clinical Social Worker
- Madison, TN
National Provider Identifier
1982875977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 620 Gallatin Pike S
Madison, TN 37115-4013 - Phone
- (615) 460-4300
- NPI assigned
- Mar 18, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
620 Gallatin Pike S
Madison, TN 37115-4013
Mailing address
505 Crieve Rd
Nashville, TN 37220-1609
Phone (615) 445-2360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1982875977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 CRIEVE RD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372201609",
"telephone_number": "615-445-2360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 GALLATIN PIKE S",
"city": "MADISON",
"state": "TN",
"postal_code": "371154013",
"telephone_number": "615-460-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "GEORGE",
"middle_name": "TRACY",
"name_prefix": "Mr.",
"credential": "MSSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-18",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.