1. Home
  2. Directory
  3. Mississippi
  4. Horn Lake
  5. Physician Assistant
  6. NPI Profile

MR. ARTHUR THOMAS ROACH P.A.-C.
NPI 1619967478
Physician Assistant - Medical in Horn Lake, MS

Active since October 24, 2005
3040 GOODMAN ROAD, SUITE C, HORN LAKE, MS 38637(662) 280-3428(662) 280-1736 Get Directions Write a Review

NPPES record last updated: November 20, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Arthur Thomas Roach P.a.-c. NPPES

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

MR. ARTHUR THOMAS ROACH P.A.-C. (NPI 1619967478) is an individual medical provider in Horn Lake, Mississippi, licensed in Mississippi (PA-025) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1619967478
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. ARTHUR THOMAS ROACHCredential: P.A.-C.
Location Address3040 GOODMAN ROAD, SUITE CHorn Lake, MS 38637-1189
Mailing Address5185 Nail RoadOlive Branch, MS 38654-8245 · (662) 895-6738 · Fax (662) 280-1736
Phone(662) 280-3428
Fax(662) 280-1736
Sole ProprietorNo
Enumeration DateOctober 24, 2005
Last NPPES UpdateNovember 20, 2009
✔ NPI 1619967478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MS · PA-025
3040 GOODMAN ROAD, SUITE C, Horn Lake, MS 38637
Open in Google Maps ↗

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 Arthur Roach's NPI number?

The NPI number for Arthur Roach is 1619967478. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Arthur Roach located?

Arthur Roach practices at 3040 Goodman Road, Suite C, Horn Lake, MS 38637. The listed phone number is (662) 280-3428.

What is Arthur Roach's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Arthur Roach was last updated on November 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.