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R. SHANE ROBERTS, M.D., INC.
NPI 1740936178
Family Medicine in Decatur, TN

Active since February 24, 2022
398 N MAIN ST, DECATUR, TN 37322(423) 334-2222(423) 334-2255 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 10, 2022, Feb 24, 2022 (2 updates tracked since 2022).

About R. Shane Roberts, M.d., Inc. NPPES

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

R. SHANE ROBERTS, M.D., INC. (NPI 1740936178) is a healthcare organization registered as a family medicine in Decatur, Tennessee and active in the NPI registry since February 2022. The organization lists Rodney Shane Roberts, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1740936178
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameR. SHANE ROBERTS, M.D., INC.
Location Address398 N MAIN STDecatur, TN 37322-7759
Mailing AddressPo Box 709Decatur, TN 37322-0709 · (423) 334-2222 · Fax (423) 334-2255
Phone(423) 334-2222
Fax(423) 334-2255
Organization SubpartYes
Authorized OfficialRodney Shane RobertsOwner/md · (423) 334-2222
Enumeration DateFebruary 24, 2022
Last NPPES UpdateMarch 10, 20222 updates tracked since enumeration
NPPES CertifiedMarch 10, 2022
✔ NPI 1740936178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
398 N MAIN ST, Decatur, TN 37322
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

R. Shane Roberts, M.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to R. Shane Roberts, M.D., Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Rodney Roberts, MD
Family Practice
NPI 1306847785
398 N MAIN ST
Decatur, TN 37322
(423) 334-2222
✔ PECOS✔ Accepts MedicareSame address
Michelle Mccluskey, F.N.P.
Nurse Practitioner
NPI 1396756342
204 SHAVER DR
Talbott, TN 37877
(423) 581-7040
✔ PECOS89 mi

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 R. Shane Roberts, M.D., Inc.'s NPI number?

The NPI number for R. Shane Roberts, M.D., Inc. is 1740936178. It was assigned to this organization in the NPPES registry on February 24, 2022.

Where is R. Shane Roberts, M.D., Inc. located?

R. Shane Roberts, M.D., Inc. is located at 398 N Main St, Decatur, TN 37322. The listed phone number is (423) 334-2222.

What is R. Shane Roberts, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is R. Shane Roberts, M.D., Inc. enrolled in Medicare?

Yes. R. Shane Roberts, M.D., Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through R. Shane Roberts, M.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to R. Shane Roberts, M.D., Inc., in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for R. Shane Roberts, M.D., Inc. was last updated on March 10, 2022. 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.