Robin Sullivan Hardin, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

812434 Issued in MS

Practice address

1 Medical LN
Forest, MS 39074-4039

Phone

(601) 469-4861

Fax

(601) 469-1238

NPI assigned

May 31, 2018

Last updated

Dec 23, 2019By the provider in NPPES

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 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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Magee Benevolent AssociationGroup PAC ID 3678466463, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Magee General Hospital Hospital, Magee, MS, CCN 250124
• Covington County Hospital Cah Hospital, Collins, MS, CCN 251325
• St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048
• Forrest General Hospital Hospital, Hattiesburg, MS, CCN 250078
• Smith County Emergency Hospital Hospital, Raleigh, MS, CCN 250786
• Magee General Hospital Nursing home, CCN 25U124

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Magee Benevolent Association

  dba the medical pavilion

  • Family Nurse Practitioner
  • Raleigh, MS
  • NPI 1225157258
  Medicare reassignment Care Compare group NPD
• Independent Healthcare Management, Inc.

  dba S E Lackey Memorial Hospital

  • Critical Access Hospital
  • Forest, MS
  • NPI 1306909734
  Medicare reassignment NPD
• Community Care Health Network LLC

  dba Matrix Medical Network

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  MS

  Medicare reassignment NPD
• Independent Healthcare Management, Inc.

  dba Newton Family and Pediatric Clinic

  • Rural Health Clinic/Center
  • Newton, MS
  • NPI 1396118378
  NPD
• Independent Healthcare Management, Inc.

  dba 35 South Family Medical

  • Rural Health Clinic/Center
  • Raleigh, MS
  • NPI 1871272724
  NPD
• South Central Regional Medical Center

  dba Magee General ERPs

  • General Acute Care Hospital
  • Magee, MS
  • NPI 1396865754
  NPD
• South Central Regional Medical Center

  dba Magee General Hospital

  • General Acute Care Hospital
  • Magee, MS
  • NPI 1679553994
  NPD
• LLH Labs

  • Clinical Medical Laboratory
  • Forest, MS
  • NPI 1386745032
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Covington County Hospital

  dba Smith County Emergency Hospital

  • Rural Acute Care Hospital
  • Raleigh, MS
  • NPI 1043051543
  Care Compare affiliation
• Covington County Hospital

  • Critical Access Hospital
  • Collins, MS
  • NPI 1215965249
  Care Compare affiliation
• Forrest County General Hospital

  • General Acute Care Hospital
  • Hattiesburg, MS
  • NPI 1225041809
  Care Compare affiliation
• South Central Regional Medical Center

  dba Magee General Hospital Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Magee, MS
  • NPI 1407976913

  Nursing home

  Care Compare affiliation
• South Central Regional Medical Center

  dba Magee General Hospital

  • General Acute Care Hospital
  • Magee, MS
  • NPI 1679553994
  Care Compare affiliation
• St Dominic-Jackson Memorial Hospital

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1306876065
  Care Compare affiliation

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1649762253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL LN",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390744039",
            "telephone_number": "601-469-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL LN",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390744039",
            "telephone_number": "601-469-4861",
            "fax_number": "601-469-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "ROBIN",
        "middle_name": "SULLIVAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "812434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Forest, MS
• Providers in Forest, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.