NPIMap

Individual provider Active NPI

Charlene Y Robinson, M.D

  • Family Medicine Physician
  • Tucker, GA
National Provider Identifier
1730206269
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
034233 Issued in GA
Practice address
1462 Montreal Road
Suite 201
Tucker, GA 30084-6931
Phone
(678) 580-5958
Fax
(770) 807-0978
NPI assigned
Mar 22, 2007
Last updated
May 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 034233 GA Primary

Addresses

Primary practice location

1462 Montreal Road
Suite 201
Tucker, GA 30084-6931

Mailing address

1462 Montreal Road
Suite 201
Tucker, GA 30084-6931
Phone (678) 580-5958

Other identifiers 1

IdentifierTypeStateIssuer
000488903GMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080225000148 GA Practitioner - Family Practice 4688758089 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medcura Health, IncGroup PAC ID 2961443643, 15 clinicians

Practice addresses (Care Compare)

5582 Memorial Centers Inc
Stone Mountain, GA 30083
Phone (404) 298-7658

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Southeast Permanente Medical Group Family Medicine CurrentSince Jul 29, 2018 Accepting new patients
American Current Care P.a. CurrentSince Oct 1, 2007 Accepting new patients
Medcura Health, Inc. CurrentSince Aug 26, 2019 Accepting new patients
American Current Care PA CurrentSince Oct 1, 2007 Accepting new patients
Medcura Health, Inc. CurrentSince Aug 26, 2019 Accepting new patients
Medcura Health, Inc. Past Accepting new patients
PMR Georgia Holding, LLC PastSince Jun 1, 2021 Accepting new patients
Georgia Clinic, PC Family Medicine Past Accepting new patients
Medcura Health, Inc. Past Accepting new patients
Park Central Family Practice, Inc. Family Medicine PastSince Apr 28, 2015 Accepting new patients

Locations

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

688 Spring St NW
Atlanta, GA 30308
Phone (404) 881-1155

977 Taylor St SW
#A
Conyers, GA 30012
Phone (770) 785-5910

1706 Candler Rd
Decatur, GA 30032

20 Glenlake Pkwy
Sandy Springs, GA 30328
Phone (770) 677-6247

5582 Memorial Dr
Stone Mountain, GA 30083
Phone (404) 298-7658

770 Village Square Dr
Stone Mtn, GA 30083
Phone (404) 298-7658

Interoperability endpoints

  • Direct secure messaging: charlene.robinson.1@9679.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1730206269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 MONTREAL ROAD",
            "address_2": "SUITE 201",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846931",
            "telephone_number": "678-580-5958",
            "fax_number": "770-807-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 MONTREAL ROAD",
            "address_2": "SUITE 201",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846931",
            "telephone_number": "678-580-5958",
            "fax_number": "770-807-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "CHARLENE",
        "middle_name": "Y",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "034233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000488903G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

Verify at the official NPI Registry.