Individual provider Active NPI

Elizabeth L Robinson, APRN, BC-PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1104846385
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN158648NP Issued in GA
Practice address
289 Little St SE
Atlanta, GA 30315-1364
Phone
(404) 539-0719
Fax
(404) 393-9128
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN158648NP GA Primary

Addresses

Primary practice location

289 Little St SE
Atlanta, GA 30315-1364

Mailing address

289 Little St SE
Atlanta, GA 30315-1364
Phone (404) 539-0719

Other practice location 1

675 Seminole Ave NE
Suite 111
Atlanta, GA 30307-3408
Phone (404) 539-0719

Other identifiers 1

IdentifierTypeStateIssuer
397218493CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20040913000590 GA Practitioner - Nurse Practitioner 3072580737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

900 Dekalb Ave NE
Suite K
Atlanta, GA 30307-2501
Phone (404) 539-0719

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN158648NPGAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intown Atlanta Psychiatry Psychiatric/Mental Health CurrentSince Apr 15, 2013 Accepting new patients
Intown Atlanta Psychiatry Psychiatric/Mental Health CurrentSince Apr 15, 2013 Accepting new patients
Senior Healthcare Solutions of Atlanta Corp PastSince Mar 3, 2005 Accepting new patients
Senior Healthcare Solutions of Atlanta Psychiatric/Mental Health Past Accepting new patients

Locations

675 Seminole Ave NE
Ste 111
Atlanta, GA 30307
Phone (404) 539-0719

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1104846385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 LITTLE ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303151364",
            "telephone_number": "404-539-0719",
            "fax_number": "404-393-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 LITTLE ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303151364",
            "telephone_number": "404-539-0719",
            "fax_number": "404-393-9128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 Seminole Ave NE",
            "address_2": "Suite 111",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303073408",
            "country_code": "US",
            "telephone_number": "404-539-0719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "credential": "APRN, BC-PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN158648NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "397218493C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.