Jennifer Roberson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200401567 Issued in NC

Practice address

324 N Queen Street
Kinston, NC 28501-4932

Phone

(252) 522-9800

Fax

(252) 523-9790

NPI assigned

Aug 2, 2005

Last updated

Oct 4, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of North Carolina at Chapel Hill School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metropolitan Community Health Services IncGroup PAC ID 9931010881, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Metropolitan Community Health Services, Inc

  dba Agape Community Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Washington, NC
  • NPI 1366488280
  Medicare reassignment Care Compare group NPD
• Metropolitan Community Health Services, Inc.

  dba Roanoke River Orthopedics

  • Orthopaedic Surgery Physician
  • Williamston, NC
  • NPI 1295515260
  NPD
• Metropolitan Community Health Services, Inc.

  dba Agape Health Services - Carolina Avenue

  • Federally Qualified Health Center (FQHC)
  • Washington, NC
  • NPI 1891590444
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pitt County Memorial Hospital Inc

  dba ECU Health Beaufort Hospital-a campus of ECU Health Medical Center

  • General Acute Care Hospital
  • Washington, NC
  • NPI 1780359687
  Care Compare affiliation
• Pitt County Memorial Hospital, Inc

  dba ECU Health Medical Center

  • General Acute Care Hospital
  • Greenville, NC
  • NPI 1043218944
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1043211998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2278",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285022278",
            "telephone_number": "252-522-9800",
            "fax_number": "252-522-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 N QUEEN STREET",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285014932",
            "telephone_number": "252-522-9800",
            "fax_number": "252-523-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200401567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900437",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard T. Carlyle DDS PA
• Alleen D Richards, MD
• Donald Michael Riddle, MD
• Annie Policarpio Rimando
• Francisco Javier Rios Mercado
• Maegan Starcher Roberson, CRC, LCAS, LPCA
• Robin Edwards, DDS, P.a.
• Ebony Robinson, MS, LCMHCA, LCASA
• Carl Roesler, CPO
• Jennifer Rogers, PTA

• Family Medicine Physician in Kinston, NC
• Providers in Kinston, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.