Active NPI
Nadine Robertson, MD
- Psychiatry Physician
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME168780
- Practice address
- 1940 Harrison Ave
Panama City, FL 32405-4542 - Phone
- (850) 763-0017
- NPI assigned
- Apr 10, 2020
- Last updated
- Jun 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | ME168780 | FL | Primary |
Addresses
Primary practice location
1940 Harrison Ave
Panama City, FL 32405-4542
Mailing address
625 19TH St S
Birmingham, AL 35233-1900
Other practice location 1
625 19th St S
Birmingham, AL 35233-1900
Phone (205) 996-6170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Virginia Commonwealth University, School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12550 Biscayne Blvd
Suite 507
North Miami, FL 33181-2544
650 NW 180TH Terrace
Suite 101
Pembroke Pines, FL 33181-2825
Phone (305) 204-1209
7900 Oak LN
Suite 400
Miami Lakes, FL 33016-6001
Phone (305) 204-1209
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME168780 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Psychiatry Group LLC | Psychiatry | Current | Accepting new patients |
| Assertive Comprehensive Care Inc | Current | Accepting new patients |
Locations
11420 N Kendall Dr
Ste 207
Miami, FL 33176
Phone (786) 715-9183
7900 Oak Ln
Ste 400
Miami Lakes, FL 33016
Phone (203) 350-2116
12550 Biscayne Blvd
Ste 507
North Miami, FL 33181
Phone (305) 204-1209
650 NW 180th Ter
Ste 101
Pembroke Pines, FL 33029
Phone (305) 204-1209
Networks
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- North Miami, FL
- NPI 1952186561
-
- Psychiatry Physician
- Miami, FL
- NPI 1770371304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1871112854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 19TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 HARRISON AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054542",
"telephone_number": "850-763-0017"
}
],
"practiceLocations": [
{
"address_1": "625 19th St S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352331900",
"country_code": "US",
"telephone_number": "205-996-6170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTSON",
"first_name": "NADINE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-10",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME168780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.