Robyn N Ellis, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN184088 Issued in GA

Practice address

2060 Dan Proctor Dr
Suite 2100
Saint Marys, GA 31558-3894

Phone

(912) 882-6767

Fax

(912) 882-6411

NPI assigned

Oct 22, 2013

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

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

Nurse Practitioner

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 and National Provider Directory roles.

• Cooperative Healthcare Services Inc

  • Clinic/Center
  • Brunswick, GA
  • NPI 1417979402
  Medicare reassignment NPD
• Southeastern Surgical Associates

  • Surgery Physician
  • Brunswick, GA
  • NPI 1922142298
  NPD (past)

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1588092910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 DAN PROCTOR DR",
            "address_2": "SUITE 2100",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583894",
            "telephone_number": "912-882-6767",
            "fax_number": "912-882-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 DAN PROCTOR DR",
            "address_2": "SUITE 2100",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583894",
            "telephone_number": "912-882-6767",
            "fax_number": "912-882-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ROBYN",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN184088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward J Smith DC PC
• Mary Elizabeth Edwards
• Katherine Eicher, LCSW
• Alessandra Ellis-Lodmell, LCSW
• Jasmina Ellis, CRNA
• April Goodwin Emerson, PT, MS
• Kalie E Ertwine, DPT, PT
• Laura M Estes, CRNA
• Family Matters of Coastal Georgia, Inc.
• Kenneth Fanning

• Family Nurse Practitioner in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.