Robyn E Jimenez, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

003472 Issued in GA

Practice address

905 N Court St
Quitman, GA 31643

Phone

(229) 263-8956

Fax

(229) 263-4671

NPI assigned

Jul 28, 2006

Last updated

Apr 24, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Primary Care of Southwest Georgia, Inc

  dba Primary Care of Southwest Georgia, Inc - HES

  • Federally Qualified Health Center (FQHC)
  • Thomasville, GA
  • NPI 1952196560
  NPD
• Primary Care of Southwest Georgia, Inc.

  dba Primary Care of Southwest Georgia- Bainbridge

  • Federally Qualified Health Center (FQHC)
  • Bainbridge, GA
  • NPI 1821471277
  NPD
• Qcpi-Villagemd, PC

  dba Village Medical

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1558872432
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1437163979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "QUITMAN",
            "state": "GA",
            "postal_code": "31643",
            "telephone_number": "229-263-8956",
            "fax_number": "229-263-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N COURT ST",
            "city": "QUITMAN",
            "state": "GA",
            "postal_code": "31643",
            "telephone_number": "229-263-8956",
            "fax_number": "229-263-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ROBYN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "003472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002868B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramsey B Hughes, FNP
• J.H. Harvey Co., LLC (Harveys Supermarket Pharmacy #2408)
• Laverne Jackson
• Melissa Jenkins
• Robert Eugene Jennings Jr., PHARM,D
• John D. Archbold Memorial Hospital (Archbold - Brooks Specialty Clinic)
• John D. Archbold Memorial Hospital, Inc. (Brooks County Dialysis Facility)
• Jennifer Joiner, MED.CCC-SLP
• Dorian H. Jordan, COTA/L
• K & D Pharmacy

• Physician Assistant in Quitman, GA
• Providers in Quitman, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.