Candice Robinson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN245553 Issued in GA

Practice address

406 Northside Dr Ste M
Valdosta, GA 31602-1853

Phone

(229) 241-0059

Fax

(229) 241-2088

NPI assigned

Jan 26, 2021

Last updated

Jan 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: candice.robinson.1@10369.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/10369/brand/1/csg/1/fhir/r4

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.

• Southern Pediatric Clinic, LLC

  • Pediatrics Physician
  • Valdosta, GA
  • NPI 1982858767
  NPD (past)

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1295326924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 NORTHSIDE DR STE M",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021853",
            "telephone_number": "229-241-0059",
            "fax_number": "229-241-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 NORTHSIDE DR STE M",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021853",
            "telephone_number": "229-241-0059",
            "fax_number": "229-241-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "CANDICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN245553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Valdosta",
            "affiliation": "Y",
            "affiliationName": "Southern Pediatric Clinic, LLC",
            "address_1": "406 Northside Dr Ste M",
            "city": "Valdosta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "316021853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Betty V Roberts, LPC
• Cedric Roberts
• Jenna Cole Roberts, CFY-SLP
• Leigh S Roberts
• Annette Sirmans Robinson, FNP-BC
• Henderica C Robinson
• Lashasta Robinson, DC
• Loretta Breionne Robinson
• Michael Brent Robinson Sr.
• Porsha Terell Robinson, RN

• Family Nurse Practitioner in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.