Active NPI
John Martin Roberts, MD
- Psychiatry Physician
- Davidson, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 9500438
- Practice address
- 104 Knox CT Ste 100
Davidson, NC 28036-0590 - Phone
- (704) 892-5454
- Fax
- (704) 892-5858
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 9500438 | NC | Primary |
| Psychiatry Physician | 2084P0800X | 13892 | SC |
Addresses
Primary practice location
104 Knox CT Ste 100
Davidson, NC 28036-0590
Mailing address
4705 University Dr BLDG 700
Durham, NC 27707-3489
Phone (704) 892-3320
Other practice location 1
5821 Fairview Rd Ste 200
Charlotte, NC 28209-3649
Phone (980) 580-0639
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139825 | Medicaid | SC |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Louisiana State University School of Medicine in Shreveport, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
104 Knox CT
Suite 100
Davidson, NC 28036-0590
Phone (704) 892-5454
50 Hospital Dr
Suite 5a
Hendersonville, NC 28792-5247
Phone (828) 684-1115
Hospital & facility affiliations
- Adventhealth Hendersonville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13892 | SC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avance Care, PA | Current | Accepting new patients | |
| Fletcher Hospital Inc. | Current | Accepting new patients | |
| Fletcher Hospital Inc. | Psychiatry | Current | Accepting new patients |
| Fletcher Hospital Inc | Current | Accepting new patients |
Locations
4705 University Dr
Bldg 700
Durham, NC 27707
Phone (919) 237-1337
50 Hospital Dr
Ste 5A
Hendersonville, NC 28792
Phone (828) 684-1115
80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073
7510 Ramble Way
Ste 107
Raleigh, NC 27616
Phone (919) 277-8880
Interoperability endpoints
- jroberts2559601@adventhealth.direct-ci.com
Organizations & group practices 4
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.
-
- Clinic/Center
- Fuquay Varina, NC
- NPI 1487845020
-
- Rural Acute Care Hospital
- Hendersonville, NC
- NPI 1427075027
-
- Rural Health Clinic/Center
- Saluda, NC
- NPI 1376371880
-
- Adult Mental Health Clinic/Center
- Hendersonville, NC
- NPI 1720292261
Psychiatry
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hendersonville, NC
- NPI 1427075027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1417020165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4705 UNIVERSITY DR BLDG 700",
"city": "DURHAM",
"state": "NC",
"postal_code": "277073489",
"telephone_number": "704-892-3320",
"fax_number": "704-780-4753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 KNOX CT STE 100",
"city": "DAVIDSON",
"state": "NC",
"postal_code": "280360590",
"telephone_number": "704-892-5454",
"fax_number": "704-892-5858"
}
],
"practiceLocations": [
{
"address_1": "5821 Fairview Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282093649",
"country_code": "US",
"telephone_number": "980-580-0639",
"fax_number": "980-580-0507",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "JOHN",
"middle_name": "MARTIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "9500438",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "13892",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139825",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davidson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.