Individual provider Active NPI

Robbie Windham Geiselman, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Charleston, SC
National Provider Identifier
1346349784
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
521 Issued in SC
Practice address
4000 Faber Place Dr Ste 110
North Charleston, SC 29405-8585
Phone
(843) 501-1099
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 335193 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN288073 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 521 SC Primary

Addresses

Primary practice location

4000 Faber Place Dr Ste 110
North Charleston, SC 29405-8585

Mailing address

2801 Buford Hwy NE Ste 100
Brookhaven, GA 30329-2146
Phone (678) 820-7830

Other practice location 1

2801 Buford Hwy NE Ste 100
Brookhaven, GA 30329-2146
Phone (678) 820-7830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050125000587 SC Practitioner - Nurse Practitioner 2769432095 Reassigns benefits to 1 organization
I20200401001942 GA Practitioner - Nurse Practitioner 2769432095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.02 of 100Reported as group
Quality
62.41
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN288073GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol CurrentSince Jun 1, 2024 Accepting new patients
Personal Recovery Network LLC CurrentSince Oct 8, 2021 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
Myrtle Beach Counseling Center PastSince Aug 6, 2019 Accepting new patients

Locations

2801 Buford Hwy NE
Ste 100
Brookhaven, GA 30329
Phone (678) 820-7830

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

899 Island Park Dr
Ste 200
Daniel Island, SC 29492
Phone (843) 797-5050

Interoperability endpoints

  • Direct secure messaging: georgiabehavioralhealthprofessionals.robbiegeiselman@124220.advancedmd-direct.com
  • Direct secure messaging: lifestancehealth.robbiegeiselman@149035.advancedmd-direct.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1346349784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BUFORD HWY NE STE 100",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303292146",
            "telephone_number": "678-820-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 FABER PLACE DR STE 110",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058585",
            "telephone_number": "843-501-1099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Buford Hwy NE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "GA",
            "postal_code": "303292146",
            "country_code": "US",
            "telephone_number": "678-820-7830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEISELMAN",
        "first_name": "ROBBIE",
        "middle_name": "WINDHAM",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "335193",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN288073",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.