Audrey Caryn Roberson, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN238529 Issued in GA

Practice address

315 Boulevard NE Ste 224
Atlanta, GA 30312-1220

Phone

(404) 265-6888

NPI assigned

Jan 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• The Southeast Permanente Medical Group

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1245266956
  Medicare reassignment Care Compare group NPD
• Neighbormd of Atlanta LLC

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1902407752
  Medicare reassignment NPD
• Neighbormd of South Atlanta LLC

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1285235036
  Medicare reassignment NPD
• Premier South Medical Group, P.C.

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1528114295
  Medicare reassignment NPD
• Crosslinks Family Practice, LLC

  • Family Medicine Physician
  • Tucker, GA
  • NPI 1295131530
  NPD

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1811495385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 BOULEVARD NE STE 224",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121220",
            "telephone_number": "404-265-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 BOULEVARD NE STE 224",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121220",
            "telephone_number": "404-265-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "AUDREY",
        "middle_name": "CARYN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN238529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "UNKNOWN",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ilene Robbins
• Tiffany Robbins
• Roberson Home Care,LLC
• Andrea G Roberson, PHARM.D.
• Angela R Roberson, RN
• Clifford William Roberson Jr., MD
• James Ray Roberson, M.D.
• Kristin Roberson
• Synthia T Roberson, MD
• Tamhra Roberson

• Family Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.