Active NPI
Jon H Robertson, MD
- Neurological Surgery Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 07603
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107165001 | Medicaid | AR | |
| 000018140 | Medicaid | MS | |
| 3169642 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, AL, MS, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| Procedure | Number 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD07603 | TN | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Alabama Neuroservices LLC | Neurological Surgery | Current | Accepting new patients |
| Semmes-Murphey Clinic PC | Neurological Surgery | Current | 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
- jon.robertson.1@6269.direct.athenahealth.com
- 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.
-
- Neurological Surgery Physician
- Florence, AL
- NPI 1639516339
-
- Clinical Neuropsychologist
- Memphis, TN
- NPI 1730385915
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Florence, AL
- NPI 1477874337
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.