Jill R. Roberson, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

37933 Issued in NC

Practice address

135 Turner St
Southern Pines, NC 28387-7054

Phone

(910) 246-2229

Fax

(910) 246-2229

NPI assigned

Apr 7, 2006

Last updated

Apr 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9651/brand/1/csg/1/fhir/r4

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.

• Premier Pediatrics, PA

  • Pediatrics Physician
  • Southern Pines, NC
  • NPI 1588626865

  Specialist

  NPD
• Premier Pediatrics, PA

  • Pediatric Nurse Practitioner
  • Southern Pines, NC
  • NPI 1720226236
  NPD
• Kidzcare Pediatrics, PC

  • Pediatrics Physician
  • Hope Mills, NC
  • NPI 1679529051
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1447213053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 TURNER ST",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877054",
            "telephone_number": "910-246-2229",
            "fax_number": "910-246-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 TURNER ST",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877054",
            "telephone_number": "910-246-2229",
            "fax_number": "910-246-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "JILL",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "37933",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "37933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "129TK",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-129TK",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Revive Counseling, PLLC
• Stephanie Jaimes Reza
• Deborah Kaye Rich, LCSW LPC MAC
• Kenneth Lawrence Ring Jr., D.C.
• Melissa Dunston Risk, LCSW
• Shakalya Nycoul Robertson
• Rodolfo de Los Santos Ongjoco, Jr., MD, PA
• Ana Rodriguez
• Theresa Nelson Rogers, AU.D. CCC-A
• Marissa Romano, LCMHCA

• Pediatrics Physician in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.