Active NPI
Elizabeth Shawn Robertson, M.D.
- Obstetrics & Gynecology Physician
- Albemarle, NC
National Provider Identifier
1902810161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 9601046
- Practice address
- 929 N 2ND St
Suite 201
Albemarle, NC 28001-3363 - Phone
- (704) 985-1779
- Fax
- (704) 985-1636
- NPI assigned
- Jul 27, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 9601046 | NC | Primary |
Addresses
Primary practice location
929 N 2ND St
Suite 201
Albemarle, NC 28001-3363
Mailing address
46929 Tall Whit Rd
New London, NC 28127-9648
Phone (704) 985-1779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8971913 | Medicaid | NC |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9601046 | NC | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902810161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46929 TALL WHIT RD",
"city": "NEW LONDON",
"state": "NC",
"postal_code": "281279648",
"telephone_number": "704-985-1779",
"fax_number": "704-985-1636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 N 2ND ST",
"address_2": "SUITE 201",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013363",
"telephone_number": "704-985-1779",
"fax_number": "704-985-1636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "ELIZABETH",
"middle_name": "SHAWN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "9601046",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8971913",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albemarle, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.