Individual provider Active NPI

Janice Noland Robertson, CFNP

  • Family Nurse Practitioner
  • Macon, MS
National Provider Identifier
1073831327
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R855505 Issued in MS
Practice address
606 N Jefferson St
Macon, MS 39341-2242
Phone
(662) 726-4231
NPI assigned
May 12, 2010
Last updated
May 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R855505 MS Primary

Addresses

Primary practice location

606 N Jefferson St
Macon, MS 39341-2242

Mailing address

78 Hospital Rd
Macon, MS 39341-2490
Phone (662) 726-4231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20110214000737 MS Practitioner - Nurse Practitioner 9537349170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

78 Hospital Rd
Macon, MS 39341-2490
Phone (662) 726-4231

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R855505MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Noxubee General Critical Access Hospital CurrentSince Oct 1, 2010 Accepting new patients
Noxubee General Critical Access Hospital CurrentSince Oct 1, 2010 Accepting new patients
Och Regional Health Clinic Past Accepting new patients

Locations

606 N Jefferson St
Macon, MS 39341
Phone (601) 726-4231

78 Hospital Rd
Macon, MS 39341
Phone (662) 726-4231

78 Hospital Rd
Ste 1
Macon, MS 39341

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/noxubee-b3342378

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1073831327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 HOSPITAL RD",
            "city": "MACON",
            "state": "MS",
            "postal_code": "393412490",
            "telephone_number": "662-726-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N JEFFERSON ST",
            "city": "MACON",
            "state": "MS",
            "postal_code": "393412242",
            "telephone_number": "662-726-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JANICE",
        "middle_name": "NOLAND",
        "credential": "CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R855505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, MS

Sources for this page

Verify at the official NPI Registry.