J. GREGORY ROBERTS, MD, RVT, PC DBA MANTLE CLINIC III
NPI 1609075464
Specialist in Knoxville, TN

Active since July 12, 2007
10810 PARKSIDE DR STE 309, KNOXVILLE, TN 37934(865) 218-6244(865) 218-6245 Get Directions Write a Review

NPPES record last updated: November 16, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About J. Gregory Roberts, Md, Rvt, Pc Dba Mantle Clinic Iii NPPES

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

J. GREGORY ROBERTS, MD, RVT, PC DBA MANTLE CLINIC III (NPI 1609075464) is a healthcare organization registered as a specialist in Knoxville, Tennessee and active in the NPI registry since July 2007. The organization lists Barbara Ann Freels, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1609075464
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJ. GREGORY ROBERTS, MD, RVT, PC DBA MANTLE CLINIC III
Location Address10810 PARKSIDE DR STE 309Knoxville, TN 37934-1986
Mailing Address10810 Parkside Dr Ste 309Knoxville, TN 37934-1986 · (865) 218-6244 · Fax (865) 218-6245
Fax(865) 218-6245
Organization SubpartNo
Authorized OfficialBarbara Ann FreelsPractice Manager · (865) 218-6244
Enumeration DateJuly 12, 2007
Last NPPES UpdateNovember 16, 2010
✔ NPI 1609075464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TN · 37706
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
10810 PARKSIDE DR STE 309, Knoxville, TN 37934

Other Identifiers 4

OtherTN0101TN · John Deere Health
Medicare PIN3723399TN
Medicaid64078132KY
Other4069830Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 J. Gregory Roberts, MD, Rvt, PC Dba Mantle Clinic III's NPI number?

The NPI number for J. Gregory Roberts, MD, Rvt, PC Dba Mantle Clinic III is 1609075464. It was assigned to this organization in the NPPES registry on July 12, 2007.

Where is J. Gregory Roberts, MD, Rvt, PC Dba Mantle Clinic III located?

J. Gregory Roberts, MD, Rvt, PC Dba Mantle Clinic III is located at 10810 Parkside Dr Ste 309, Knoxville, TN 37934. The listed phone number is (865) 218-6244.

What is J. Gregory Roberts, MD, Rvt, PC Dba Mantle Clinic III's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for J. Gregory Roberts, MD, Rvt, PC Dba Mantle Clinic III was last updated on November 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.