Paul Robertson, MS, RDN, LDN

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

D1361 Issued in MS

Practice address

350 West Woodrow Wilson Avenue
Ambulatory Services - Outpatient Dietitian
Jackson, MS 39213

Phone

(601) 815-2500

Fax

(601) 984-4074

NPI assigned

May 28, 2009

Sex

Male

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

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of Mississippi - University of Mississippi Medical CenterGroup PAC ID 1850293036, 956 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.94 of 100Reported as group

Quality

67.75

Promoting interoperability

100

Improvement activities

40

Cost

71.17

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment Care Compare group NPD
• State of Mississippi - University of Mississippi Medical Center

  • Prosthetic/Orthotic Supplier
  • Jackson, MS
  • NPI 1235019530
  NPD
• State of Mississippi-University of Mississippi Medical Center

  • Nurse Practitioner
  • Jackson, MS
  • NPI 1699857433
  NPD

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1770718298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 WEST WOODROW WILSON AVENUE",
            "address_2": "AMBULATORY SERVICES - OUTPATIENT DIETITIAN",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39213",
            "telephone_number": "601-815-2500",
            "fax_number": "601-984-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 WEST WOODROW WILSON AVENUE",
            "address_2": "AMBULATORY SERVICES - OUTPATIENT DIETITIAN",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39213",
            "telephone_number": "601-815-2500",
            "fax_number": "601-984-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "MS",
            "license": "D1361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denzil G Robertson, MD
• Elliott Robertson Sr., M.D.
• Hess M Robertson, M.D.
• Hubert Cecil Robertson Jr., RPH
• Isluv Robertson, RN
• Sara Ball Robertson, M.D.
• Cameron Matthew Robins, M.A.
• Althea Robinson-Swint
• Andre' Badelle Robinson, OTR/L
• Andrmeccia Robinson, HIGH SCHOOL DIPLOMA

• Metabolic Nutrition Registered Dietitian in Jackson, MS
• Providers in Jackson, MS by specialty
• Metabolic Nutrition Registered Dietitian in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.