Individual provider Active NPI

Cara Robb, NP-C

  • Nurse Practitioner
  • Brandon, MS
National Provider Identifier
1912423989
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
902263 Issued in MS
Practice address
120 Woodcliff PL
Brandon, MS 39042-1928
Phone
(901) 461-5406
NPI assigned
Aug 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 902263 MS Primary

Addresses

Primary practice location

120 Woodcliff PL
Brandon, MS 39042-1928

Mailing address

120 Woodcliff PL
Brandon, MS 39042-1928
Phone (901) 461-5406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20180122001349 MS Practitioner - Nurse Practitioner 4486913308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corner Clinic Urgent Care LLCGroup PAC ID 4082903034, 5 clinicians

Practice addresses (Care Compare)

225 Bank 1St Dr
Flowood, MS 39232-6611
Phone (601) 992-0004

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Corner Clinic Urgent Care LLC CurrentSince Jan 11, 2026 Accepting new patients

Locations

225 Bank First Dr
Flowood, MS 39232
Phone (601) 376-2945

3823 Highway 80 E
Ste 200
Pearl, MS 39208
Phone (769) 223-3261

Organizations & group practices 1

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": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1912423989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WOODCLIFF PL",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390421928",
            "telephone_number": "901-461-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WOODCLIFF PL",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390421928",
            "telephone_number": "901-461-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBB",
        "first_name": "CARA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "902263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

Verify at the official NPI Registry.