Robert Abney III, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4630 Issued in MS

Practice address

1867 Crane Ridge Dr
Suite 101-B
Jackson, MS 39216-4910

Phone

(601) 362-8776

Fax

(601) 354-8786

NPI assigned

Mar 9, 2011

Last updated

Mar 9, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Children's Medical Group, P.a.

  • Pediatrics Physician
  • Jackson, MS
  • NPI 1588700603
  NPD (past)

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1356649768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 CRANE RIDGE DR",
            "address_2": "SUITE 101-B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164910",
            "telephone_number": "601-362-8776",
            "fax_number": "601-354-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 CRANE RIDGE DR",
            "address_2": "SUITE 101-B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164910",
            "telephone_number": "601-362-8776",
            "fax_number": "601-354-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABNEY",
        "first_name": "ROBERT",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "4630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah L Abernathy, NP
• Albert Kalil Abide III
• Charlene Similoluwa Abidun, M.D.
• Ability Home Care, LLC
• Jordan Thomas Abney, MD
• Subahana Aboobucker
• Hassan Abou Adma
• Danya Kamal Abouzaid
• George Ellis Abraham III, M.D.
• Timothy Abram, PCMHT

• Pediatrics Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.