Individual provider Active NPI

Melissa A Robbins, MD

  • Family Medicine Physician
  • Jackson, TN
National Provider Identifier
1023143740
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0000042096 Issued in TN
Practice address
294 Summar Drive
Jackson, TN 38301-3915
Phone
(731) 423-1932
Fax
(731) 423-4919
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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 MD0000042096 TN Primary

Addresses

Primary practice location

294 Summar Drive
Jackson, TN 38301-3915

Mailing address

294 Summar Drive
Jackson, TN 38301-3915
Phone (731) 423-1932

Other identifiers 1

IdentifierTypeStateIssuer
MD42096OtherTNLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20070705000025 TN Practitioner - Family Practice 4082714084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Francis Physician Network, LLCGroup PAC ID 2365701943, 74 clinicians

Practice addresses (Care Compare)

1022 N Germantown Pkwy
Cordova, TN 38018-5892
Phone (901) 254-8500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42096TNMDPharmacist
MD0000042096TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Blakney Current Accepting new patients
Saint Francis Physician Network, LLC Family Medicine CurrentSince Feb 5, 2018 Accepting new patients
Jackson Clinic PA Past Accepting new patients

Locations

8025 US Highway 64
Ste 101
Bartlett, TN 38133
Phone (901) 382-2044

2996 Kate Bond Rd
Ste 203
Bartlett, TN 38133
Phone (901) 300-2970

1022 N Germantown Pkwy
Cordova, TN 38018
Phone (901) 201-5662

9947 Wolf River Blvd
Ste 110
Germantown, TN 38139
Phone (901) 341-4985

6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205

6005 Park Ave
Ste 323B
Memphis, TN 38119
Phone (901) 756-6991

Networks

  • MS PPO C-SNP
  • MS PPO D-SNP
  • MS PPO

Interoperability endpoints

  • Direct secure messaging: melissa.robbins.1@16700.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1023143740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 SUMMAR DRIVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013915",
            "telephone_number": "731-423-1932",
            "fax_number": "731-423-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 SUMMAR DRIVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013915",
            "telephone_number": "731-423-1932",
            "fax_number": "731-423-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000042096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD42096",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.