Jerry Edward Robbins II, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21372 Issued in AL

Practice address

2941 Point Mallard Pkwy SE Ste N
Decatur, AL 35603-5760

Phone

(256) 432-2822

Fax

(256) 432-2825

NPI assigned

Sep 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Emergency Medicine

Education

University of Alabama School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Falkville Medical Clinic, LLCGroup PAC ID 4082855432, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDFDCD
• FHIR API: https://api.platform.athenahealth.com/17003/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/17006/brand/1/csg/1/fhir/r4

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.

• Medical East of Decatur Inc

  • Rural Health Clinic/Center
  • Decatur, AL
  • NPI 1659518553
  Medicare reassignment NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  Medicare reassignment NPD
• Falkville Medical Clinic, LLC

  • Rural Health Clinic/Center
  • Falkville, AL
  • NPI 1518301837
  Care Compare group NPD (past)
• Medical East of Decatur Inc

  • Family Nurse Practitioner
  • Somerville, AL
  • NPI 1700238508
  NPD
• Complete Family Medicine

  • Family Medicine Physician
  • Cullman, AL
  • NPI 1154362655
  NPD (past)
• Complete Family Practice

  • Family Medicine Physician
  • Cullman, AL
  • NPI 1790810950
  NPD (past)
• Tanner Medical Clinic LLC

  • Rural Health Clinic/Center
  • Tanner, AL
  • NPI 1376881870

  Family Medicine

  NPD (past)
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1730283201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 N CEDAR COVE RD",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356404957",
            "telephone_number": "256-751-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 POINT MALLARD PKWY SE STE N",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356035760",
            "telephone_number": "256-432-2822",
            "fax_number": "256-432-2825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "885 N Cedar Cove Rd",
            "address_purpose": "LOCATION",
            "city": "Hartselle",
            "state": "AL",
            "postal_code": "356404957",
            "country_code": "US",
            "telephone_number": "256-751-2160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "JERRY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "21372",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "00021372",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089916305",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riverside Counseling & Consulting
• Riverside Counseling and Consulting, P.C.
• Riverside Family Health LLC
• Riverside Gastroenterology PC
• Riverside Pediatrics of Decatur LLP
• Nathan Roberson
• Shanton Roberson
• Lorna P Roberts, MS
• Michael Neel Roberts, MD
• Brian P Robertson, PT

• Family Medicine Physician in Decatur, AL
• Providers in Decatur, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.