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

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: August 02, 2026.

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

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, and ordering and referring status from the CMS PECOS system.

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

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.

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 4 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.