NPIMap

Individual provider Active NPI

Summer Ann Roberson, NP-C

  • Adult Health Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1750113718
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5020662 Issued in NC
Practice address
2149 Valleygate Dr Ste 201
Fayetteville, NC 28304-3668
Phone
(910) 795-1708
NPI assigned
Aug 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 5020662 NC Primary
Gerontology Nurse Practitioner 363LG0600X 5020662 NC

Addresses

Primary practice location

2149 Valleygate Dr Ste 201
Fayetteville, NC 28304-3668

Mailing address

695 S Bennett St
Southern Pines, NC 28387-5919
Phone (910) 795-1708

Other practice location 1

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 822-6587

Other practice location 2

1303 Carthage St
Sanford, NC 27330-8984
Phone (919) 292-2468 ext. 105

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126000425 NC Practitioner - Nurse Practitioner 9537694666 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Pain Solutions PLLCGroup PAC ID 3678527181, 24 clinicians

Practice addresses (Care Compare)

2149 Valleygate Dr
Suite 201
Fayetteville, NC 28304-3668
Phone (910) 728-4410

Hospital & facility affiliations

  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5020662NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Pain Associates, PLLC Single Specialty CurrentSince Sep 5, 2024 Accepting new patients
Integrated Pain Solutions PLLC Single Specialty CurrentSince Jul 7, 2025 Accepting new patients
Integrated Pain Solutions PLLC CurrentSince Jul 7, 2025 Accepting new patients

Locations

2149 Valleygate Dr
Ste 201
Fayetteville, NC 28304
Phone (252) 567-9540

704 Progress Pl
#A
Laurinburg, NC 28352
Phone (910) 277-2999

1303 Carthage St
Sanford, NC 27330
Phone (919) 292-2468

695 S Bennett St
Southern Pnes, NC 28387
Phone (910) 687-6187

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16137/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1750113718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 S BENNETT ST",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875919",
            "telephone_number": "910-795-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 VALLEYGATE DR STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043668",
            "telephone_number": "910-795-1708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-822-6587",
            "fax_number": "910-486-2160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1303 Carthage St",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273308984",
            "country_code": "US",
            "telephone_number": "919-292-2468 x105",
            "fax_number": "919-292-2167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "SUMMER",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5020662",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5020662",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.