Active NPI
Wendell Robinson, RN
- Registered Nurse
- Griffin, GA
National Provider Identifier
1326594656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN117510
- Practice address
- 109 N.10TH Street
Griffin, GA 30223 - Phone
- (770) 358-5252
- Fax
- (770) 229-3223
- NPI assigned
- Aug 28, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN117510 | GA | Primary |
Addresses
Primary practice location
109 N.10TH Street
Griffin, GA 30223
Mailing address
1435 N Expressway
Suite 301
Griffin, GA 30223-9016
Phone (770) 358-5252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN117510 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472342400000",
"number": "1326594656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1435 N EXPRESSWAY",
"address_2": "SUITE 301",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302239016",
"telephone_number": "770-358-5252",
"fax_number": "770-229-3223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 N.10TH STREET",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "30223",
"telephone_number": "770-358-5252",
"fax_number": "770-229-3223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "WENDELL",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-28",
"last_updated": "2016-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN117510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.