Active NPI
Angela R Roberson, RN
- Registered Nurse
- Atlanta, GA
National Provider Identifier
1467524140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R129599
- Practice address
- 3201 Atlanta Industrial Pkwy
Center Hill Health Center Suite 302
Atlanta, GA 30331 - Phone
- (404) 699-6370
- Fax
- (404) 505-5725
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R129599 | GA | Primary |
Addresses
Primary practice location
3201 Atlanta Industrial Pkwy
Center Hill Health Center Suite 302
Atlanta, GA 30331
Mailing address
99 Jesse Hill Jr Drive SE
Room 402
Atlanta, GA 30303
Phone (404) 730-1684
Other names 1
- Angela R Lockhart
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R129599 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467524140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 JESSE HILL JR DRIVE SE",
"address_2": "ROOM 402",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30303",
"telephone_number": "404-730-1684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 ATLANTA INDUSTRIAL PKWY",
"address_2": "CENTER HILL HEALTH CENTER SUITE 302",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30331",
"telephone_number": "404-699-6370",
"fax_number": "404-505-5725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERSON",
"first_name": "ANGELA",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "R129599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "LOCKHART",
"middle_name": "R",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.