Individual provider Active NPI

Carmen Tabrielle Robinson, M.D.

  • Family Medicine Physician
  • Clemmons, NC
National Provider Identifier
1609118462
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2017-01862 Issued in NC
Practice address
6301 Stadium Dr
Clemmons, NC 27012-8766
Phone
(336) 766-6473
Fax
(336) 766-8909
NPI assigned
Mar 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q3587 TX
Family Medicine Physician 207Q00000X 2017-01862 NC Primary

Addresses

Primary practice location

6301 Stadium Dr
Clemmons, NC 27012-8766

Mailing address

PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 718-4820

Other practice location 1

3701 Kirby Dr
Ste 100
Houston, TX 77098-3900
Phone (713) 798-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160614001216 TX Practitioner - Family PracticePractitioner - Pediatric Medicine 7113218660 Reassigns benefits to 2 organizations
I20171024003713 NC Practitioner - Family Practice 7113218660 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western North Carolina Community Health Services Inc.Group PAC ID 0840264669, shared by 3 NPIs, 21 clinicians

Practice addresses (Care Compare)

136 Creekview CT
Marion, NC 28752-6519
Phone 82828506224402

1914 Smoky Park Hwy
Suite 2
Candler, NC 28715-9367
Phone 82828506224400

257 Biltmore Ave
Asheville, NC 28801-4120
Phone (828) 285-0622

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017-01862NCMDFamily Medicine Physician
Q3587TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western North Carolina Community Health Services, Inc. CurrentSince Oct 30, 2023 Accepting new patients
Triad Adult and Pediatric Medicine, Inc. Family Medicine CurrentSince Oct 20, 2020 Accepting new patients
Western North Carolina Community Health Services, Inc. CurrentSince Dec 3, 2024 Accepting new patients
Western North Carolina Community Health Services Inc. Current Accepting new patients
Baylor College of Medicine Family Medicine CurrentSince Aug 15, 2016 Accepting new patients
Western North Carolina Community Health Services, Inc. CurrentSince Oct 30, 2023 Accepting new patients
Baylor College of Medicine Family Medicine CurrentSince Jun 1, 2016 Accepting new patients
Baylor College of Medicine CurrentSince Jun 1, 2016 Accepting new patients
Baylor College of Medicine CurrentSince Aug 15, 2016 Accepting new patients

Locations

257 Biltmore Ave
Asheville, NC 28801
Phone (828) 285-0622

29 Turtle Creek Dr
Asheville, NC 28803

1002 S Eugene St
Greensboro, NC 27406
Phone (336) 271-5999

136 Creekview Ct
Marion, NC 28752
Phone (828) 285-0622

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

3701 Kirby Dr
Ste 100
Houston, TX 77098
Phone (713) 798-7750

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

Interoperability endpoints

  • Direct secure messaging: crobinson613144@direct.ochin.org

Organizations & group practices 10

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": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1609118462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-718-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 STADIUM DR",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128766",
            "telephone_number": "336-766-6473",
            "fax_number": "336-766-8909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 Kirby Dr",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770983900",
            "country_code": "US",
            "telephone_number": "713-798-7700",
            "fax_number": "713-798-7775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "CARMEN",
        "middle_name": "TABRIELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q3587",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2017-01862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

Verify at the official NPI Registry.