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

Elliott C Roberts Jr., MD

Individual provider Gynecology Physician · NPI 1225091614

Elliott C Roberts Jr., MD is a Gynecology Physician in Jackson, Tennessee. Licensed in Michigan and Tennessee. Registered with an NPI since 2006.

Licensed in
MI, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

657 Skyline Dr
Jackson, TN 38301-3903
Phone: (731) 541-8425
Fax: (731) 541-8420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence MD0000043714 (TN)
Gynecology Physician Taxonomy 207VG0400X · Licence 4301048061 (MI)

Record details

NPI number1225091614
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2006
Last updated in NPPESMarch 4, 2014

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