Organization Active NPI

Mia J. Robinson, M.D., LLC

  • Geriatric Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1487687703
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
055007 Issued in GA
Legal business name
MIA J. ROBINSON, M.D., LLC
Practice address
1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone
(678) 473-4793
Fax
(678) 473-4793
NPI assigned
Jul 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mia Janice Robinson, M.D.
Title
Psychiatrist
Phone
(770) 495-8333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 055007 GA Primary

Addresses

Primary practice location

1821 Clifton Rd NE
Atlanta, GA 30329-4021

Mailing address

5805 State Bridge Rd
Suite G 290
Duluth, GA 30097-8220
Phone (770) 495-8333

National Provider Directory

National Provider Directory

Locations

5805 State Bridge Rd
Ste G290
Johns Creek, GA 30097

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487687703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 STATE BRIDGE RD",
            "address_2": "SUITE G 290",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978220",
            "telephone_number": "770-495-8333",
            "fax_number": "678-473-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303294021",
            "telephone_number": "678-473-4793",
            "fax_number": "678-473-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIA J. ROBINSON, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "MIA",
        "authorized_official_middle_name": "JANICE",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "770-495-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "GA",
            "license": "055007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.