Individual provider Active NPI

Jason B Robbins, M.D.

  • Dermatology Physician
  • Nashville, TN
National Provider Identifier
1306822234
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
39425 Issued in TN
Practice address
2301 21St Ave S
Nashville, TN 37212
Phone
(615) 327-9797
Fax
(615) 613-0329
NPI assigned
Dec 22, 2005
Last updated
Feb 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 39425 TN Primary
Dermatopathology Physician 207ND0900X 39425 TN

Addresses

Primary practice location

2301 21St Ave S
Nashville, TN 37212

Mailing address

2301 21St Ave S
Nashville, TN 37212-4908
Phone (615) 327-9797

Other practice location 1

2525 21st Ave S
Nashville, TN 37212-5601
Phone (615) 327-9797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050621000945 TN Practitioner - PathologyPractitioner - Dermatology 1052355120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PathologyAlso: Dermatology
Education
Vanderbilt University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Associates of St ThomasGroup PAC ID 2769462845, 11 clinicians

Practice addresses (Care Compare)

4230 Harding Pike
Suite 1001
Nashville, TN 37205-2098
Phone 61529841002098

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39425TNMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Associates of St. Thomas Dermatology CurrentSince Jul 1, 2005 Accepting new patients

Locations

4220 Harding Pike
Nashville, TN 37205
Phone (615) 222-2111

4230 Harding Pike
Ste 1001
Nashville, TN 37205
Phone (615) 298-4100

Organizations & group practices 1

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1306822234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 21ST AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124908",
            "telephone_number": "615-327-9797",
            "fax_number": "615-613-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 21ST AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37212",
            "telephone_number": "615-327-9797",
            "fax_number": "615-613-0329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 21st Ave S",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372125601",
            "country_code": "US",
            "telephone_number": "615-327-9797",
            "fax_number": "615-613-0329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "JASON",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "39425",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TN",
            "license": "39425",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.