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ELLIOTT C ROBERTS JR. MD
NPI 1225091614
Obstetrics & Gynecology in Jackson, TN

Active since April 08, 2006PECOS Enrolled
657 SKYLINE DR, JACKSON, TN 38301(731) 541-8425(731) 541-8420 Get Directions Write a Review

NPPES record last updated: March 4, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Elliott C Roberts Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLIOTT C ROBERTS JR. MD (NPI 1225091614) is an individual obstetrics & gynecology provider in Jackson, Tennessee, licensed in Tennessee (MD0000043714) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225091614
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameELLIOTT C ROBERTS JR.Credential: MD
Location Address657 SKYLINE DRJackson, TN 38301-3903
Mailing Address657 Skyline DrJackson, TN 38301-3903 · (731) 541-8425 · Fax (731) 541-8420
Phone(731) 541-8425
Fax(731) 541-8420
Sole ProprietorNo
Enumeration DateApril 8, 2006
Last NPPES UpdateMarch 4, 2014
✔ NPI 1225091614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TN · MD0000043714
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 4301048061 (MI)
657 SKYLINE DR, Jackson, TN 38301
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Other Identifiers 3

Medicaid104813136MI
Medicare UPIND83129
Medicare ID-Type UnspecifiedON36870008

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elliott C Roberts Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Elliott Roberts reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wt University Medical Associates Inc
0.1 mi
Family Medicine
294 SUMMAR DR
Jackson, TN 38301
  • Reassigned Medicare billing, Tennessee enrollment
  • 50 clinicians in this Medicare group
NPI 1023572344 (731) 423-1932
Obhg Tennessee, P.C.
0.2 mi
Obstetrics & Gynecology
620 SKYLINE DR
Jackson, TN 38301
  • Reassigned Medicare billing, Tennessee enrollment
  • 92 clinicians in this Medicare group
NPI 1285924977 (800) 967-2289

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM TERRY HOLT
Podiatrist (Primary Podiatric Medicine)
657 SKYLINE DR, SUITE A
JACKSON, TN 38301
Madison County (731) 427-5581
PODIATRY CLINIC OF JACKSON PLLC
Podiatrist (Primary Podiatric Medicine)
657 SKYLINE DR, STE A
JACKSON, TN 38301
Madison County (731) 427-5581
DAKOTAH WILLIS PA-C
Physician Assistant
657 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 541-2250
DR. CHRISTOPHER E RICKMAN MD
Obstetrics & Gynecology
657 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 541-8425
ALLISON H MILLER O.D.
Optometrist
657 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 660-3937
ARMIE W WALKER MD
Obstetrics & Gynecology
657 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 660-8759
DR. WILLIAM TERRY HOLT DPM
Podiatrist
657 SKYLINE DR, SUITE A
JACKSON, TN 38301
Madison County (731) 427-5581
NICOLAS ARCURI DPM
Podiatrist (Foot & Ankle Surgery)
657 SKYLINE DR, SUITE A
JACKSON, TN 38301
Madison County (731) 427-5581

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elliott Roberts's NPI number?

The NPI number for Elliott Roberts is 1225091614. It was assigned to this individual provider in the NPPES registry on April 8, 2006.

Where is Elliott Roberts located?

Elliott Roberts practices at 657 Skyline Dr, Jackson, TN 38301. The listed phone number is (731) 541-8425.

What is Elliott Roberts's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Elliott Roberts enrolled in Medicare?

Yes. Elliott Roberts is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elliott Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elliott Roberts reassigns Medicare benefits to 2 organizations: Wt University Medical Associates Inc (Jackson, TN) and Obhg Tennessee, P.C. (Jackson, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elliott Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elliott Roberts accept?

Health plans from Cigna Healthcare and Oscar Insurance Company list Elliott Roberts as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elliott Roberts was last updated on March 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.