Individual provider Active NPI

Amanda Leigh Robinson, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Southaven, MS
National Provider Identifier
1285257824
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
31758 Issued in MS
Practice address
7736 Airways Blvd
Southaven, MS 38671-5306
Phone
(662) 772-3700
Fax
(662) 772-3719
NPI assigned
May 18, 2020
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 5246 TN
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 5151014449APP20 MI
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 31758 MS Primary

Addresses

Primary practice location

7736 Airways Blvd
Southaven, MS 38671-5306

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401

Other practice location 1

4660 S Hagadorn Rd Ste 500
East Lansing, MI 48823-6804
Phone (517) 432-6144

Other practice location 2

8970 Winchester Rd
Memphis, TN 38125-8231
Phone (901) 794-5806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230818001966 TN Practitioner - Osteopathic Manipulative Medicine 8628430840 Reassigns benefits to 1 organization
I20230824000676 MS Practitioner - Osteopathic Manipulative Medicine 8628430840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Alabama College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

255 Baptist Blvd
Columbus, MS 39705-2006

391 Southcrest Cir
Suite 101
Southaven, MS 38671-4848
Phone (662) 349-0755

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5246TNMDPharmacist
5151014449APP20MIMDNeuromusculoskeletal Medicine & OMM Physician
31758MSMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc CurrentSince Jul 10, 2023 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jul 10, 2023 Accepting new patients
Baptist Memorial Health Services, Inc. of Mississippi Past Accepting new patients

Locations

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

363 Southcrest Cir
Ste 103
Southaven, MS 38671
Phone (662) 772-5222

7736 Airways Blvd
Southaven, MS 38671
Phone (662) 772-3700

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

6685 Poplar Ave
Ste 120
Germantown, TN 38138
Phone (901) 685-8245

1717 W Massey Rd
Memphis, TN 38120
Phone (901) 227-2550

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806

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.

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1285257824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7736 AIRWAYS BLVD",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715306",
            "telephone_number": "662-772-3700",
            "fax_number": "662-772-3719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4660 S Hagadorn Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488236804",
            "country_code": "US",
            "telephone_number": "517-432-6144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8970 Winchester Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381258231",
            "country_code": "US",
            "telephone_number": "901-794-5806",
            "fax_number": "901-794-7922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "TN",
            "license": "5246",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MI",
            "license": "5151014449APP20",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MS",
            "license": "31758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.