Individual provider Active NPI

Erica A Roberts, NP

  • Nurse Practitioner
  • Supply, NC
National Provider Identifier
1942960026
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5015576 Issued in NC
Practice address
18 Doctors Cir
Supply, NC 28462-1101
Phone
(910) 754-6141
Fax
(910) 343-5323
NPI assigned
Dec 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 286843 NC
Family Nurse Practitioner 363LF0000X 5015576 NC
Nurse Practitioner 363L00000X 5015576 NC Primary

Addresses

Primary practice location

18 Doctors Cir
Supply, NC 28462-1101

Mailing address

18 Doctors Cir
Supply, NC 28462-1101
Phone (910) 754-6141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220315002392 NC Practitioner - Nurse Practitioner 3779978440 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.86 of 100Reported as group
Quality
97.48
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
286843NCMDRegistered Nurse
5015576NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Triad Physicians, PLLC CurrentSince Oct 5, 2022 Accepting new patients
Kernersville Emergency Group, PLLC CurrentSince Oct 5, 2022 Accepting new patients
Tanglewood Park Physicians, PLLC CurrentSince Oct 5, 2022 Accepting new patients
Brunswick Physician Partners, PLLC CurrentSince Oct 5, 2022 Accepting new patients

Locations

6915 Village Medical Cir
Clemmons, NC 27012
Phone (336) 718-1680

1750 Kernersville Medical Pkwy
Kernersville, NC 27284
Phone (336) 564-4000

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/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.

NPI Registry JSON

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1942960026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 DOCTORS CIR",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284621101",
            "telephone_number": "910-754-6141",
            "fax_number": "910-343-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 DOCTORS CIR",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284621101",
            "telephone_number": "910-754-6141",
            "fax_number": "910-343-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ERICA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-30",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "286843",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015576",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5015576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Supply, NC

Sources for this page

Verify at the official NPI Registry.