MEDICARE: DR. CHERYL REIS ROBERTSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	34141	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	660003566	OTHER	NC	MEDICARE-RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	72287	OTHER	NC	BCBSNC
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851312243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHERYL REIS ROBERTSON M.D.

Provider Business Mailing Address
First Line	:	7810 BALLANTYNE COMMONS PKWY STE 300
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-3416
Country	:	US
Telephone Number	:	704-342-0252
Fax Number	:	980-533-7801

Provider Business Practice Location Address
First Line	:	7810 BALLANTYNE COMMONS PKWY STE 300
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-3416
Country	:	US
Telephone Number	:	704-342-0252
Fax Number	:	980-533-7801

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	01/02/2026

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