Individual provider Active NPI

Jimmy Robbins

  • Family Nurse Practitioner
  • Alpharetta, GA
National Provider Identifier
1598201022
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP212892 Issued in GA
Practice address
4105 Tivoli Way
Alpharetta, GA 30004-4125
Phone
(678) 481-8165
NPI assigned
Jan 8, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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 APRN-NP212892 GA Primary

Addresses

Primary practice location

4105 Tivoli Way
Alpharetta, GA 30004-4125

Mailing address

4105 Tivoli Way
Alpharetta, GA 30004-4125
Phone (678) 481-8165

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170928000566 GA Practitioner - Nurse Practitioner 3577837632 Reassigns benefits to 3 organizations
I20260123002906 SC Practitioner - Nurse Practitioner 3577837632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians
The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians
Demboski Healthcare IncGroup PAC ID 5395908339, 2 clinicians

Practice addresses (Care Compare)

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

2505 Dallas Hwy SW
Marietta, GA 30064-2659
Phone (678) 956-6230

285 Ridgewalk Pkwy
Suite 108
Woodstock, GA 30188-4964
Phone (470) 276-9505

3345 Cobb Pkwy NW
Suite 800
Acworth, GA 30101-8346
Phone (678) 919-7200

3650 Steve Reynolds Blvd
Duluth, GA 30096-4506
Phone (770) 931-6026

4282 Bells Ferry Rd NW
Kennesaw, GA 30144-1302
Phone (678) 701-4125

6030 Bethelview Rd
Suite 502
Cumming, GA 30040-8025
Phone (770) 888-8292

7820 Hickory Flat Hwy
Woodstock, GA 30188-2099
Phone (404) 353-5181

789 Church St NE
Suite 200
Marietta, GA 30060-7238
Phone (770) 881-7964

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP212892GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Jun 22, 2020 Accepting new patients
Demboski Healthcare Inc CurrentSince Jul 3, 2017 Accepting new patients
The Southeast Permanente Medical Group CurrentSince Jun 18, 2018 Accepting new patients
Acs Primary Care Physicians - Southeast PC CurrentSince Dec 7, 2025 Accepting new patients
North Georgia Physical Medicine PastSince Jul 3, 2017 Accepting new patients

Locations

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

6030 Bethelview Rd
Ste 502
Cumming, GA 30040
Phone (770) 888-8292

3650 Steve Reynolds Blvd
Duluth, GA 30096
Phone (770) 931-6010

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1483833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1598201022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 TIVOLI WAY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300044125",
            "telephone_number": "678-481-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 TIVOLI WAY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300044125",
            "telephone_number": "678-481-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "JIMMY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-08",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP212892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "3650 Steve Reynolds Blvd",
            "city": "Duluth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300964506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.