RODNEY SHANE ROBERTS (NPI# 1306847785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306847785 |
| Entity Type | Individual |
| Full Name | RODNEY SHANE ROBERTS |
| Other Name | R SHANE ROBERTS |
| Credential | MD |
| Practice Address |
398 N Main St Decatur TN 37322-7759 |
| Mailing Address |
Po Box 709 Decatur TN 37322-0709 |
| Practice Telephone | 4233342222 |
| Practice Fax Number | 4233342255 |
| Mailing Telephone | 4233342222 |
| Mailing Fax Number | 4233342255 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2012-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 024022 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RIVERBEND - RURAL HEALTH | 443935 | 01 |
| TN | MEDICAID | 0443935 | 01 |
| TN | 03718733 | 05 |
| Street Address |
398 N MAIN ST |
| City | DECATUR |
| State | TN |
| Zip Code | 37322-7759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508062977 | R. Shane Roberts, M.d., Inc. | Family Medicine | 398 N Main St, Decatur, TN 37322-7759 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225547805 | William Edward Moore | Counselor | 365 S No Pone Valley Road, Decatur, TN 37322 | 2017-09-26 |
| 1518012269 | Decatur Will Sav Inc | Pharmacy | 17619 Hwy 58 N, Decatur, TN 37322 | 2007-01-24 |
| 1053484121 | Manvesh Nath Sinha | Internal Medicine | 305 River Road, Decatur, TN 37322 | 2006-11-16 |
| 1568902922 | Jamie Bird | Nurse Practitioner | 305 River Road, Decatur, TN 37322 | 2017-03-06 |
| 1457475683 | Roger Harrison | Pharmacist | 17619 Hwy 58 N, Decatur, TN 37322 | 2007-03-16 |
| 1275693921 | Larry Gene Crisp | Nurse Practitioner | 389 River Rd, Decatur, TN 37322-0157 | 2006-12-11 |
| 1134729965 | Jamie Mclemore | Nurse Practitioner | 17619 Hwy 58 North, Decatur, TN 37322-3732 | 2020-10-30 |
| 1730556655 | Johnaca Templeton | Occupational Therapist | 3088 Centerpoint Rd, Decatur, TN 37322-4631 | 2015-08-26 |
| 1457733321 | Melissa Miller | Registered Nurse | 13181 N Nopone Valley Rd, Decatur, TN 37322-4883 | 2015-06-26 |
| 1235689316 | Lori Williams | Health Educator | 572b County Road 188, Decatur, TN 37322-5036 | 2016-10-12 |
| Find all providers in zip 37322 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170817 | Health-e LLC | Family Medicine | 1466 Country Squire Dr, Decatur, GA 30033-2414 | 2018-10-18 |
| 1548772536 | D'neka Colzie | Family Medicine | 2663 Easterly Pl, Decatur, GA 30035-4004 | 2017-10-30 |
| 1356862551 | Amruta Dutia | Family Medicine | 102 W Kenwood Ave Ste 102, Decatur, IL 62526-4380 | 2017-06-28 |
| 1962938043 | Atlanta Functional & Integrative Medicine | Family Medicine | 2786 N Decatur Rd, Decatur, GA 30033-5928 | 2017-05-10 |
| 1194179341 | Alexander Bryant Mcqueen | Family Medicine | 2422 Danville Rd Sw Ste E, Decatur, AL 35603-4221 | 2016-04-13 |
| 1609259969 | Vitale Medical Inc | Family Medicine | 3290 Memorial Dr Ste B1, Decatur, GA 30032-3400 | 2015-07-06 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1881036879 | Brigitte B. Nahmias | Family Medicine | 114 Mckoy St, Decatur, GA 30030-4346 | 2013-07-19 |
| 1275976094 | Zachary James Shipp | Family Medicine | 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 | 2013-04-11 |
| 1790023497 | Philip Henry Sharkey | Family Medicine | 4666 E Powers Blvd, Decatur, IL 62521-2549 | 2013-01-30 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.