Tymetric Antoin Robinson, MD

Primary specialty

Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X

License

R411322 Issued in MS

Practice address

338 Green St
Macon, MS 39341-2873

Phone

(662) 694-5726

NPI assigned

Dec 15, 2022

Last updated

Oct 23, 2023By 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.

• Golden Years Home Care Inc

  • Personal Care Attendant
  • Columbus, MS
  • NPI 1063309961

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1427760974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 GREEN ST",
            "city": "MACON",
            "state": "MS",
            "postal_code": "393412873",
            "telephone_number": "662-694-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 GREEN ST",
            "city": "MACON",
            "state": "MS",
            "postal_code": "393412873",
            "telephone_number": "662-694-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "TYMETRIC",
        "middle_name": "ANTOIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-15",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "MS",
            "license": "R411322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RCG Mississippi, Inc. (RCG Macon)
• Region Seven Mental Health Idd Commission (Community Counseling Services)
• Margaret Rice, MS
• Jacqueline Richardson, MSW
• Janice Noland Robertson, CFNP
• Amber Eaves Rogers, PHARM. D
• Marlee Sellers, FNP-C
• Tyisha Shields, MA
• Cheyanne Simpson
• Keeli Donyae Smith, MS

• Critical Care Pediatric Nurse Practitioner in Macon, MS
• Providers in Macon, MS by specialty
• Critical Care Pediatric Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.