Individual provider Active NPI

Eric Robisch, PA-C

  • Family Medicine Physician
  • Kitty Hawk, NC
National Provider Identifier
1952888018
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0010-08235 Issued in NC
Practice address
5200 N Croatan Hwy
Suites 6, 7, 8
Kitty Hawk, NC 27949
Phone
(252) 261-4187
Fax
(833) 989-2346
NPI assigned
Jul 22, 2018
Last updated
Oct 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0010-08235 NC Primary

Addresses

Primary practice location

5200 N Croatan Hwy
Suites 6, 7, 8
Kitty Hawk, NC 27949

Mailing address

PO Box 2287
Kitty Hawk, NC 27949-2287
Phone (252) 261-4187

Other practice location 1

3324 S Virginia Dare Trl
Nags Head, NC 27959-9266
Phone (252) 261-3773

Other practice location 2

7429 Caratoke Hwy
Jarvisburg, NC 27947-9708
Phone (252) 491-2111

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190719002204 NC Practitioner - Family Practice 5092057158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hightide Healthcare PLLCGroup PAC ID 3375029705, 4 clinicians
Beach Medical PLLCGroup PAC ID 1658761408, 5 clinicians
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

5200 N Croatan Hwy
Suite 9
Kitty Hawk, NC 27949-3990
Phone (252) 581-8404

5200 N Croatan Hwy
Suites 6 7 8
Kitty Hawk, NC 27949
Phone (252) 261-4187

9120 Willow Ridge Rd
Charlotte, NC 28210-8313
Phone 82877452220027

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hightide Healthcare PLLC Family Medicine CurrentSince Jan 19, 2026 Accepting new patients
Beach Medical PLLC CurrentSince Jan 13, 2022 Accepting new patients
Brenda Lee Davis Ma LPC LLC PastSince May 8, 2019 Accepting new patients
Ocean View Medical Past Accepting new patients

Locations

5200 N Croatan Hwy
#6
Kitty Hawk, NC 27949
Phone (252) 255-6113

5200 N Croatan Hwy
Ste 9
Kitty Hawk, NC 27949
Phone (252) 581-8404

Interoperability endpoints

  • Direct secure messaging: eric.robisch.1@24390.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24390/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1532217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1952888018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2287",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279492287",
            "telephone_number": "252-261-4187",
            "fax_number": "833-989-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 N CROATAN HWY",
            "address_2": "SUITES 6, 7, 8",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "27949",
            "telephone_number": "252-261-4187",
            "fax_number": "833-989-2346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3324 S Virginia Dare Trl",
            "address_purpose": "LOCATION",
            "city": "Nags Head",
            "state": "NC",
            "postal_code": "279599266",
            "country_code": "US",
            "telephone_number": "252-261-3773",
            "fax_number": "252-441-5044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7429 Caratoke Hwy",
            "address_purpose": "LOCATION",
            "city": "Jarvisburg",
            "state": "NC",
            "postal_code": "279479708",
            "country_code": "US",
            "telephone_number": "252-491-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBISCH",
        "first_name": "ERIC",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-22",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "0010-08235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kitty Hawk, NC

Sources for this page

Verify at the official NPI Registry.