Active NPI
Peggy Jo Robinson, PA-C
- Physician Assistant
- Chapel Hill, NC
National Provider Identifier
1619037041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 101578
- Practice address
- 1728 Fordham Blvd
151 Ram'S Plaza
Chapel Hill, NC 27514-2397 - Phone
- (919) 968-1985
- Fax
- (919) 942-0038
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 101578 | NC | Primary |
Addresses
Primary practice location
1728 Fordham Blvd
151 Ram'S Plaza
Chapel Hill, NC 27514-2397
Mailing address
1728 Fordham Blvd
151 Ram'S Plaza
Chapel Hill, NC 27514-2397
Phone (919) 968-1985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101578 | Other | NC | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101578 | NC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1619037041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1728 FORDHAM BLVD",
"address_2": "151 RAM'S PLAZA",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275142397",
"telephone_number": "919-968-1985",
"fax_number": "919-942-0038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1728 FORDHAM BLVD",
"address_2": "151 RAM'S PLAZA",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275142397",
"telephone_number": "919-968-1985",
"fax_number": "919-942-0038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "PEGGY",
"middle_name": "JO",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "101578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "101578",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.