Faye Ann Robertson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

901827 Issued in MS

Practice address

326 Military Rd
Columbus, MS 39701-4670

Phone

(662) 251-5664

NPI assigned

Jan 2, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Faye Ann Colom Former name

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Robertson Medical Clinic LLC

  • Family Nurse Practitioner
  • Columbus, MS
  • NPI 1518712546

  Single Specialty

  Medicare reassignment NPD Authorized official
• Robrich Enterprise LLC

  • Primary Care Clinic/Center
  • Reform, AL
  • NPI 1881378958
  NPD Authorized official
• Lowry Medical Clinic

  • Clinic/Center
  • Columbus, MS
  • NPI 1922371442

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1483315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1639614563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 MILITARY RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397014670",
            "telephone_number": "662-251-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 MILITARY RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397014670",
            "telephone_number": "662-251-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "FAYE",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-02",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "MS",
            "license": "901827",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAYE",
            "last_name": "COLOM",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Roberts
• Robertson Medical Clinic LLC
• Amy Ruth Robertson, FNP
• Cindy Luke Robertson, CFNP
• Elizabeth Brooks Matthews Robertson, PHARMD
• Kimberly Dawn Robertson, FNP-C
• John Robinson Jr., DDS
• Michael Joseph Robinson, MD
• Nicole Robinson
• Earnestine Yvett Roby, MS

• Family Nurse Practitioner in Columbus, MS
• Providers in Columbus, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.