Individual provider Active NPI

Jennifer M Robinson, NP-C

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1790072601
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN152308 Issued in GA
Practice address
371 E Paces Ferry Rd NE Ste 750
Atlanta, GA 30305-2372
Phone
(770) 487-3200
Fax
(229) 516-1440
NPI assigned
Jun 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN152308 GA Primary

Addresses

Primary practice location

371 E Paces Ferry Rd NE Ste 750
Atlanta, GA 30305-2372

Mailing address

504 Waldo St SE
Atlanta, GA 30312-3424
Phone (404) 275-2552

Other practice location 1

504 Waldo St SE
Atlanta, GA 30312-3424
Phone (770) 487-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20110801000611 GA Practitioner - Nurse Practitioner 8921277344 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beltline Bariatric and Surgical Group LLC CurrentSince Apr 1, 2017 Accepting new patients
Minuteclinic LLC Family CurrentSince May 3, 2012 Accepting new patients
Beltline Weight Loss LLC Past Accepting new patients

Locations

371 E Paces Ferry Rd NE
Ste 750
Atlanta, GA 30305
Phone (470) 419-4380

775 Poplar Rd
Ste 350
Newnan, GA 30265
Phone (470) 419-4380

300 Bullsboro Dr
Ste Bc
Newnan, GA 30263
Phone (470) 419-4380

5095 Peachtree Pkwy
Norcross, GA 30092
Phone (770) 209-9299

1212 N Peachtree Pkwy
Peachtree Cty, GA 30269
Phone (404) 275-2552

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1790072601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 WALDO ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303123424",
            "telephone_number": "404-275-2552",
            "fax_number": "229-516-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 E PACES FERRY RD NE STE 750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052372",
            "telephone_number": "770-487-3200",
            "fax_number": "229-516-1440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 Waldo St SE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303123424",
            "country_code": "US",
            "telephone_number": "770-487-3200",
            "fax_number": "229-516-1440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN152308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.