Individual provider Active NPI

Deletha King Robinson, FNP

  • Family Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1255409173
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R860035 Issued in MS
Practice address
1325 E Fortification St
Jackson, MS 39202-2442
Phone
(601) 354-4488
Fax
(601) 351-5980
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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 R860035 MS Primary

Addresses

Primary practice location

1325 E Fortification St
Jackson, MS 39202-2442

Mailing address

1325 E Fortification St
Jackson, MS 39202-2442
Phone (601) 354-4488

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
I20121031000121 MS Practitioner - Nurse Practitioner 0244480119 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brentwood Acquisition IncGroup PAC ID 9133101074, 3 clinicians

Practice addresses (Care Compare)

3531 Lakeland Dr
Flowood, MS 39232-8049
Phone (601) 936-2024

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Jackson Heart Cardiology Clinic-Yazoo City CurrentSince Jul 5, 2014 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Feb 1, 2020 Accepting new patients
Mississippi Methodist Hospital & Rehabilitation Center, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Feb 1, 2020 Accepting new patients
Brentwood Acquisition Inc CurrentSince Feb 2, 2022 Accepting new patients
Corner Clinic Urgent Care LLC Family CurrentSince Feb 1, 2018 Accepting new patients
Mississippi Methodist Hospital & Rehabilitation Center, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Medical Foundation of Central Ms CurrentSince Jul 5, 2014 Accepting new patients
Medical Foundation of Central Mississippi, Inc. Current Accepting new patients
Ms Methodist Hospital & Rehabilitation Center Past Accepting new patients

Locations

225 Bank First Dr
Flowood, MS 39232
Phone (601) 376-2945

5341 Lakeland Dr
Flowood, MS 39232
Phone (601) 919-1300

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

3531 Lakeland Dr
Jackson, MS 39232
Phone (601) 936-2024

1350 E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 364-5340

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

Organizations & group practices 10

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1255409173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E FORTIFICATION ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022442",
            "telephone_number": "601-354-4488",
            "fax_number": "601-351-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E FORTIFICATION ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022442",
            "telephone_number": "601-354-4488",
            "fax_number": "601-351-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "DELETHA",
        "middle_name": "KING",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R860035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.