Individual provider Active NPI

Kathy Dianne Robinson-Waits, FNP-C

  • Family Nurse Practitioner
  • Norcross, GA
National Provider Identifier
1316075765
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN078438 Issued in GA
Practice address
3720 Davinci CT Ste 400
Norcross, GA 30092-7625
Phone
(770) 300-3502
Fax
(770) 640-6427
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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 RN078438 GA Primary

Addresses

Primary practice location

3720 Davinci CT Ste 400
Norcross, GA 30092-7625

Mailing address

4328 Summit Oaks LN NE
Roswell, GA 30075-5277
Phone (404) 384-5637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141010000380 GA Order and Referring Only - Nurse Practitioner 1456571611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: ms_krobi10@landmarkhealth-direct.org

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1316075765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4328 SUMMIT OAKS LN NE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755277",
            "telephone_number": "404-384-5637",
            "fax_number": "770-640-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 DAVINCI CT STE 400",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300927625",
            "telephone_number": "770-300-3502",
            "fax_number": "770-640-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON-WAITS",
        "first_name": "KATHY",
        "middle_name": "DIANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN078438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

Verify at the official NPI Registry.