Individual provider Active NPI

Jon H Robertson, MD

  • Neurological Surgery Physician
  • Memphis, TN
National Provider Identifier
1871583054
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
07603 Issued in TN
Practice address
6325 Humphreys Blvd
Memphis, TN 38120-2300
Phone
(901) 522-7700
Fax
(901) 259-2022
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X E-18535 AR
Neurological Surgery Physician 207T00000X 06669 MS
Neurological Surgery Physician 207T00000X 07603 TN Primary

Addresses

Primary practice location

6325 Humphreys Blvd
Memphis, TN 38120-2300

Mailing address

6325 Humphreys Blvd
Memphis, TN 38120-2300
Phone (901) 522-7700

Other identifiers 3

IdentifierTypeStateIssuer
107165001MedicaidAR
000018140MedicaidMS
3169642MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL, MS, AR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20100928001196 TN Practitioner - Neurosurgery 1456432871 Reassigns benefits to 1 organization
I20150408002491 AL Practitioner - Neurosurgery 1456432871 Reassigns benefits to 1 organization
I20180919001694 MS Practitioner - Neurosurgery 1456432871 Reassigns benefits to 1 organization
I20241015002799 AR Practitioner - Neurosurgery 1456432871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Tennessee, HSC, College of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Alabama Neuroservices LLCGroup PAC ID 4789826348, 11 clinicians

Practice addresses (Care Compare)

1701 Veterans Dr
Florence, AL 35630-4928
Phone (256) 980-6214

426 E Dr Hicks Blvd
Florence, AL 35630-5763
Phone (256) 980-6214

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD07603TNMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Alabama Neuroservices LLC Neurological Surgery CurrentSince Nov 7, 2014 Accepting new patients
Semmes-Murphey Clinic PC Neurological Surgery CurrentSince May 1, 1994 Accepting new patients
Semmes-Murphey Clinic PC Current Accepting new patients

Locations

426 E Dr Hicks Blvd
Florence, AL 35630
Phone (256) 764-7721

1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900

4802 E Johnson Ave
Fl 4
Jonesboro, AR 72405

100 Baptist Memorial Cir
Ste 202
Oxford, MS 38655
Phone (662) 626-2451

391 Southcrest Cir
Ste 205
Southaven, MS 38671
Phone (662) 536-0900

6011 Airline Rd
Ste 102
Arlington, TN 38002
Phone (901) 557-7077

2996 Kate Bond Rd
Ste 211
Bartlett, TN 38133
Phone (731) 307-8888

9950 Crooked Creek Rd
Collierville, TN 38017
Phone (662) 822-3298

6325 Humphreys Blvd
Memphis, TN 38120
Phone (901) 522-7739

Interoperability endpoints

  • Direct secure messaging: jon.robertson.1@6269.direct.athenahealth.com
  • Direct secure messaging: jrobertson27732@mlh.direct-ci.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1871583054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202300",
            "telephone_number": "901-522-7700",
            "fax_number": "901-522-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202300",
            "telephone_number": "901-522-7700",
            "fax_number": "901-259-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JON",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AR",
            "license": "E-18535",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MS",
            "license": "06669",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "07603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107165001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000018140",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3169642",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.