Individual provider Active NPI

Deborah Beavers Roberson, F.N.P.

  • Family Nurse Practitioner
  • Clayton, NC
National Provider Identifier
1346416765
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201379 Issued in NC
Practice address
236 Butternut LN
Clayton, NC 27520-5857
Phone
(919) 359-1011
Fax
(919) 205-1473
NPI assigned
May 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201379 NC Primary

Addresses

Primary practice location

236 Butternut LN
Clayton, NC 27520-5857

Mailing address

236 Butternut LN
Clayton, NC 27520-5857
Phone (919) 359-1011

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address deborahroberson@cma.allscriptsdirect.net Direct

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
I20050609000487 NC Practitioner - Nurse Practitioner 6103869292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Durham Medical Group PAGroup PAC ID 2365409588, 80 clinicians

Practice addresses (Care Compare)

236 Butternut LN
Clayton, NC 27520-5857
Phone (919) 359-1011

Hospital & facility affiliations

  • Johnston Health Hospital, Smithfield, NC, CCN 340090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201379NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Durham Medical Group PA CurrentSince Jul 1, 2025 Accepting new patients
Raleigh Durham Medical Group PA CurrentSince Jul 1, 2025 Accepting new patients
Clayton Medical Associates P a CurrentSince Jan 24, 2011 Accepting new patients

Locations

97 Cornerstone Dr
Cary, NC 27519
Phone (919) 460-0993

236 Butternut Ln
Clayton, NC 27520
Phone (919) 359-1011

100 Guy Rd
Clayton, NC 27520
Phone (919) 297-0000

7124 US Highway 64 E
Knightdale, NC 27545
Phone (919) 266-6211

Organizations & group practices 3

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 1

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": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1346416765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 BUTTERNUT LN",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205857",
            "telephone_number": "919-359-1011",
            "fax_number": "919-205-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 BUTTERNUT LN",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205857",
            "telephone_number": "919-359-1011",
            "fax_number": "919-205-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "DEBORAH",
        "middle_name": "BEAVERS",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deborahroberson@cma.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "100 Guy Rd",
            "city": "Clayton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275207206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

Verify at the official NPI Registry.