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

Zachary King Roberts

Individual provider Physician Assistant · NPI 1164290912

Zachary King Roberts is a Physician Assistant in Port Orange, Florida. Qualified in 2023, 3 years ago. Practices with Adventist Health System Sunbelt, Inc, a 209-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023

Practice location Address checks out

1208 Dunlawton Ave
Port Orange, FL 32127-4746
Phone: (386) 304-7320
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1164290912
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 12, 2023
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Adventist Health System Sunbelt, Inc. — 209 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Port Orange