Individual provider Active NPI

Vivian Robinson-Womack, NP-C

  • Family Nurse Practitioner
  • Tyrone, GA
National Provider Identifier
1528378577
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
150697 Issued in GA
Practice address
145 Silverthorn Dr
Tyrone, GA 30290-1837
Phone
(404) 822-6282
NPI assigned
Oct 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 150697 GA Primary

Addresses

Primary practice location

145 Silverthorn Dr
Tyrone, GA 30290-1837

Mailing address

145 Silverthorn Dr
Tyrone, GA 30290-1837
Phone (404) 822-6282

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120831000344 GA Practitioner - Nurse Practitioner 6901053685 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Medical Care Foundation IncGroup PAC ID 4981501814, 1,003 clinicians

Practice addresses (Care Compare)

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.24 of 100Reported as group
Quality
73.72
Promoting interoperability
100
Improvement activities
40
Cost
75.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
150697GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Corporation CurrentSince Feb 11, 2015 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Feb 11, 2015 Accepting new patients
Cooper Medical Associates LLC CurrentSince Aug 2, 2012 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Nov 21, 2016 Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

448 Ralph David Abernathy Blvd SW
Ste 2
Atlanta, GA 30312
Phone (678) 499-8633

448 Ralph David Abernathy Blvd SW
Atlanta, GA 30312
Phone (404) 721-5080

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5069/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1528378577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SILVERTHORN DR",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302901837",
            "telephone_number": "404-822-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SILVERTHORN DR",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302901837",
            "telephone_number": "404-822-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON-WOMACK",
        "first_name": "VIVIAN",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "150697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyrone, GA

Sources for this page

Verify at the official NPI Registry.