Kenneth Roberts, PA
NPI 1700625092 · Physician Assistant · Kingsport, TN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Roberts, PA is a Physician Assistant provider in Kingsport, TN (NPI 1700625092).
Provider details
- NPI number
- 1700625092
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 6037 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (4)
- 1705 W Lakeview Dr Apt 2Johnson City, TN 37601-2168Phone: (423) 507-4516
- 2033 Meadowview Ln Ste 110Kingsport, TN 37660-7569Phone: (423) 230-5000
- 1490 Park Ave Nw Ste 3cNorton, VA 24273-1631Phone: (276) 679-8890
- 127 Health Care Dr Ste 3Pennington Gap, VA 24277-2853Phone: (276) 546-5212
Registry dates
- Enumerated
- 2024-05-24
- Last updated
- 2026-01-26
- Certified
- 2026-01-26
Frequently asked questions
- What is Kenneth Roberts's NPI number?
- Kenneth Roberts's National Provider Identifier (NPI) is 1700625092, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Roberts's specialty?
- Kenneth Roberts is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kenneth Roberts located?
- Kenneth Roberts's practice location on file with NPPES is 2050 Meadowview Pkwy, Kingsport, TN 37660-7475.
- What is Kenneth Roberts's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Roberts is (423) 230-5000.
- Does Kenneth Roberts accept Medicare?
- Kenneth Roberts is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Roberts's NPI active?
- Yes — Kenneth Roberts's NPI (1700625092) is active in the NPPES registry as of the last update on 2026-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.