Active NPI
Rochelle Robinson, P.A.
- Otolaryngology Physician
- Atlanat, GA
National Provider Identifier
1205934387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 2604
- Practice address
- 1365A Clifton Road NE
Department of Otolaryngology
Atlanat, GA 30322 - Phone
- (404) 778-5712
- Fax
- (404) 778-4295
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 2604 | GA | Primary |
Addresses
Primary practice location
1365A Clifton Road NE
Department of Otolaryngology
Atlanat, GA 30322
Mailing address
1365A Clifton Road NE
Department of Otolaryngology
Atlanat, GA 30322
Phone (404) 778-5712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2604 | GA | MD | Otolaryngology Physician |
| 002604 | GA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205934387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365A CLIFTON ROAD NE",
"address_2": "DEPARTMENT OF OTOLARYNGOLOGY",
"city": "ATLANAT",
"state": "GA",
"postal_code": "30322",
"telephone_number": "404-778-5712",
"fax_number": "404-778-4295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365A CLIFTON ROAD NE",
"address_2": "DEPARTMENT OF OTOLARYNGOLOGY",
"city": "ATLANAT",
"state": "GA",
"postal_code": "30322",
"telephone_number": "404-778-5712",
"fax_number": "404-778-4295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "ROCHELLE",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "2604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.