Individual provider Active NPI

Alexis Victoria Roberts, PA

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1346071032
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-14443 Issued in NC
Practice address
1331 N Elm St Ste 200
Greensboro, NC 27401-6304
Phone
(336) 274-6682
Fax
(336) 274-8097
NPI assigned
Aug 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 001014443 NC
Diagnostic Radiology Physician 2085R0202X 0010-14443 NC
Physician Assistant 363A00000X 0010-14443 NC Primary

Addresses

Primary practice location

1331 N Elm St Ste 200
Greensboro, NC 27401-6304

Mailing address

PO Box 85378
Chicago, IL 60689-5378
Phone (336) 274-6682

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240923002244 NC Practitioner - Physician Assistant 0446791008 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wake Forest University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians
Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians

Practice addresses (Care Compare)

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 274-6682

1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7000

1248 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 274-6682

1331 N Elm St
Greensboro, NC 27401-6304
Phone (336) 274-6682

1833 Ridge Creek Dr
Kernersville, NC 27284-6959
Phone (336) 274-6682

2400 W Friendly Ave
Greensboro, NC 27403-1109
Phone (336) 274-6682

501 N Elam Ave
Greensboro, NC 27403-1118
Phone (336) 274-6682

601 N Elm St
High Point, NC 27262-4331
Phone (336) 716-2734

8 Flagship Cir
Greensboro, NC 27455-3429
Phone (336) 274-6682

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091
  • High Point Regional Health System Hospital, High Point, NC, CCN 340004
  • Alamance Regional Medical Center Hospital, Burlington, NC, CCN 340070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001014443NCMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Wake Forest University Health Sciences CurrentSince Aug 1, 2024 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Dec 15, 2025 Accepting new patients

Locations

1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285

601 N Elm St
High Point, NC 27262
Phone (336) 878-6419

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: aroberts1211992@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1346071032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85378",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895378",
            "telephone_number": "336-274-6682",
            "fax_number": "336-274-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N ELM ST STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016304",
            "telephone_number": "336-274-6682",
            "fax_number": "336-274-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ALEXIS",
        "middle_name": "VICTORIA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "NC",
            "license": "001014443",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "0010-14443",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.