JACKSON ROBERSON PA-C
NPI 1821831223
Physician Assistant in Charlotte, NC

Q: What is Jackson Roberson's NPI number?

The NPI number for Jackson Roberson is 1821831223. It was assigned to this individual provider in the NPPES registry on June 14, 2024.

Q: What is Jackson Roberson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jackson Roberson was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 14, 2024PECOS EnrolledAccepts Medicare Assignment

501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211(704) 377-2424(704) 377-2687 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2025, Jun 14, 2024 (2 updates tracked since 2024).

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About Jackson Roberson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON ROBERSON PA-C (NPI 1821831223) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-15256) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1821831223

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJACKSON ROBERSONCredential: PA-C

Location Address501 S SHARON AMITY RD STE 300Charlotte, NC 28211-0035

Mailing Address501 S Sharon Amity Rd Ste 300Charlotte, NC 28211-0035 · (704) 377-2424 · Fax (704) 377-2687

Phone(704) 377-2424

Fax(704) 377-2687

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 14, 2024

Last NPPES UpdateDecember 5, 20252 updates tracked since enumeration

NPPES CertifiedDecember 5, 2025

✔ NPI 1821831223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-15256

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

501 S SHARON AMITY RD STE 300, Charlotte, NC 28211

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Secondary Practice Locations 2

Location 113129 S Tryon St Ste 120Charlotte, NC 28278-7915 · Phone (980) 337-4662 · Fax (980) 337-4658

Location 2200 Hawthorne LnCharlotte, NC 28204-2515 · Phone (704) 384-4000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jackson Roberson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385156819

PECOS Enrollment IDI20250620003265

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL STEPHEN MERRILL M.D.

Emergency Medicine