Individual provider Active NPI

Lee Ann Roberts, M.D.

  • Gynecology Physician
  • Raleigh, NC
National Provider Identifier
1114923679
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
29381 Issued in NC
Practice address
5816 Creedmoor Rd
Ste 209
Raleigh, NC 27612-2310
Phone
(919) 881-7766
Fax
(919) 881-0779
NPI assigned
Jun 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 29381 NC Primary

Addresses

Primary practice location

5816 Creedmoor Rd
Ste 209
Raleigh, NC 27612-2310

Mailing address

5816 Creedmoor Rd
Ste 209
Raleigh, NC 27612-2310
Phone (919) 881-7766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29381NCMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge OB/GYN Associates PLLC Past Accepting new patients
Private Diagnostic Clinic, PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16649/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114923679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5816 CREEDMOOR RD",
            "address_2": "STE 209",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122310",
            "telephone_number": "919-881-7766",
            "fax_number": "919-881-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5816 CREEDMOOR RD",
            "address_2": "STE 209",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122310",
            "telephone_number": "919-881-7766",
            "fax_number": "919-881-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LEE",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": "29381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.