Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

J. Gregory Roberts, MD, Rvt, PC Dba Mantle Clinic III

Organization Specialist · NPI 1609075464

J. Gregory Roberts, MD, Rvt, PC Dba Mantle Clinic III provides Specialist services in Knoxville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10810 Parkside Dr Ste 309
Knoxville, TN 37934-1986 Not confirmed with CMS for 15 years — call before visiting
Phone: (865) 218-6244
Fax: (865) 218-6245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 37706 (TN)

Record details

NPI number1609075464
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Freels — Practice Manager · (865) 218-6244
NPI enumeratedJuly 12, 2007
Last updated in NPPESNovember 16, 2010
Mailing address10810 Parkside Dr Ste 309, Knoxville, TN 37934-1986

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