Individual provider Active NPI

Jessica H. Robbins, PHD

  • Clinical Neuropsychologist
  • Marietta, GA
National Provider Identifier
1427591692
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
004064 Issued in GA
Practice address
100 Lacy St NW Ste 150
Marietta, GA 30060-1273
Phone
(770) 514-6760
NPI assigned
Nov 21, 2016
Last updated
May 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 1132 WV
Clinical Neuropsychologist 103G00000X 004064 GA Primary

Addresses

Primary practice location

100 Lacy St NW Ste 150
Marietta, GA 30060-1273

Mailing address

30 5TH St NE Unit 101
Atlanta, GA 30308-1141
Phone (205) 812-6307

Other practice location 1

2020 Peachtree Rd NW
Atlanta, GA 30309-1426
Phone (404) 350-3061

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jrobbins363346@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20170202001379 GA Practitioner - Neuropsychiatry 5991088775 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neuropsychiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

625 Church Nest
Marietta, GA 30060-1101
Phone (770) 422-2004

677 Church Nest
Marietta, GA 30060-1101

677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
004064GAMDProfessional Counselor
1132WVMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Shepherd Center Inc CurrentSince Nov 21, 2016 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jan 1, 2020 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients

Locations

2020 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 350-7333

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

100 Lacy St NW
Ste 150
Marietta, GA 30060
Phone (770) 793-7635

805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616

Interoperability endpoints

  • Direct secure messaging: jrobbins363346@directwellstar.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1427591692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 5TH ST NE UNIT 101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081141",
            "telephone_number": "205-812-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LACY ST NW STE 150",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601273",
            "telephone_number": "770-514-6760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Peachtree Rd NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303091426",
            "country_code": "US",
            "telephone_number": "404-350-3061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "JESSICA",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WV",
            "license": "1132",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "004064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrobbins363346@directwellstar.org",
            "affiliation": "N",
            "address_1": "100 Lacy St NW Ste 150",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300601273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.