Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dalice Ballou Roberson

Individual provider Physician Assistant · NPI 1508336389

Dalice Ballou Roberson is a Physician Assistant in Corbin, Kentucky. Qualified in 2018, 8 years ago. Practices with Grace Community Health Center, Inc, a 65-clinician group, works from 5 locations and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
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Practice location Address checks out

1419 Cumberland Falls Hwy
Corbin, KY 40701-2722
Phone: (606) 528-4481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2257 Highway 515 W Ste B, Blairsville, GA 30512-3780 — (706) 439-6860
  • 11 Hospital Way Ste A, Blairsville, GA 30512-3144 — (706) 745-4191
  • 1155 Main St, Young Harris, GA 30582-4315 — (706) 439-6873
  • 450 Hwy 64 Business Ste 4, Hayesville, NC 28904-9695 — (828) 389-2273

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1508336389
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 5, 2018
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 6, 2022
Mailing address1214 Scenic View Hts, Corbin, KY 40701-2188

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Grace Community Health Center, Inc. — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Corbin