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

Dr. Stacy D Roberts, BS, DC

Individual provider Rehabilitation Chiropractor · NPI 1720056476

Dr. Stacy D Roberts, BS, DC is a Chiropractic in Fayetteville, Georgia. Graduated from Logan College of Chiropractic in 2003, 23 years ago. Licensed in Georgia.

Years since qualifying
23
Trained at
Logan College of Chiropractic
Licensed in
GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

165 Rebel Rise
Fayetteville, GA 30215-5095
Phone: (470) 400-9431
Fax: (678) 669-1867
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CHIR007730 (GA)
Rehabilitation Chiropractor Taxonomy 111NR0400X · Licence CHIR007730 (GA)

Record details

NPI number1720056476
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS , DC
Sole proprietorNo
NPI enumeratedMarch 9, 2006
Last updated in NPPESOctober 5, 2021
Certification dateSeptember 21, 2021
Mailing address165 Rebel Rise, Fayetteville, GA 30215-5095

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolLOGAN COLLEGE OF CHIROPRACTIC
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated

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