DR. STACY D ROBERTS B.S., D.C.
NPI 1720056476
Chiropractor in Fayetteville, GA

Q: What is Stacy Roberts's NPI number?

The NPI number for Stacy Roberts is 1720056476. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Q: What is Stacy Roberts's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Roberts was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 09, 2006

165 REBEL RISE, FAYETTEVILLE, GA 30215(470) 400-9431(678) 669-1867 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2021, May 7, 2020, Jan 30, 2020 (3 updates tracked since 2020).

On this page

About Dr. Stacy D Roberts B.s., D.c. NPPES

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

DR. STACY D ROBERTS B.S., D.C. (NPI 1720056476) is an individual chiropractor in Fayetteville, Georgia, licensed in Georgia (CHIR007730) and active in the NPI registry since March 2006. She is a graduate of Logan College Of Chiropractic (2003).

NPPES Registry Identity

NPI1720056476

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameDR. STACY D ROBERTSCredential: B.S., D.C.

Location Address165 REBEL RISEFayetteville, GA 30215-5095

Mailing Address165 Rebel RiseFayetteville, GA 30215-5095 · (470) 400-9431 · Fax (678) 669-1867

Phone(470) 400-9431

Fax(678) 669-1867

Sole ProprietorNo

Medical School CMSLogan College Of ChiropracticGraduated 2003

Enumeration DateMarch 9, 2006

Last NPPES UpdateOctober 5, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2021

✔ NPI 1720056476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in GA · CHIR007730

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Also ListedChiropractor · RehabilitationTaxonomy 111NR0400X · License CHIR007730 (GA)

165 REBEL RISE, Fayetteville, GA 30215

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stacy D Roberts B.s., D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224049499

PECOS Enrollment IDI20060601000236

Medicare Billing Reassignment

Medicare enrollment records show Stacy Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Total Health, LLC

5.6 mi

Chiropractor

769 MILLSTONE DR
Jonesboro, GA 30238

Reassigned Medicare billing, Georgia enrollment

NPI 1063950004 (678) 610-1777

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

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 Stacy Roberts's NPI number?

The NPI number for Stacy Roberts is 1720056476. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Stacy Roberts located?

Stacy Roberts practices at 165 Rebel Rise, Fayetteville, GA 30215. The listed phone number is (470) 400-9431.

What is Stacy Roberts's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Stacy Roberts enrolled in Medicare?

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

Which organization bills Medicare for Stacy Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Roberts reassigns Medicare benefits to Total Health, LLC (Jonesboro, GA). The 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 Stacy Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Roberts accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Stacy 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 Stacy Roberts was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.