Organization
J. GREGORY ROBERTS, MD, RVT, PC DBA MANTLE CLINIC III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA ANN FREELS (PRACTICE MANAGER)
(865) 218-6244
Entity
Organization
Contact information
Practice address
10810 PARKSIDE DR STE 309, KNOXVILLE, TN 37934-1986
(865) 218-6244
(865) 218-6245
Mailing address
10810 PARKSIDE DR STE 309, KNOXVILLE, TN 37934-1986
(865) 218-6244
(865) 218-6245
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
37706
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4069830
BCBS
—
05
—
64078132
—
KY
01
—
TN0101
JOHN DEERE HEALTH
TN
Enumeration date
07/12/2007
Last updated
11/16/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up