Individual provider Active NPI

Robin Hussion-Dale, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Albany, GA
National Provider Identifier
1699459321
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
GA232792 Issued in GA
Practice address
1211 Palmyra Rd
Albany, GA 31701-1935
Phone
(229) 894-5099
NPI assigned
Jun 13, 2023
Last updated
Jun 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X GA232792 GA Primary

Addresses

Primary practice location

1211 Palmyra Rd
Albany, GA 31701-1935

Mailing address

1211 Palmyra Rd
Albany, GA 31701-1935
Phone (229) 894-5099

Other names 1

  • Robin Yolanda Hussion Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3885 Ga Hwy 112 S
Doerun, GA 31744-4207

PO Box
Suite 207
Shellman, GA 39886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
GA232792GAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1699459321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 PALMYRA RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011935",
            "telephone_number": "229-894-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 PALMYRA RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011935",
            "telephone_number": "229-894-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSION-DALE",
        "first_name": "ROBIN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "GA232792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "HUSSION",
            "middle_name": "YOLANDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.