Individual provider Active NPI

Denetra Elaine Robinson

  • Primary Care Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1982199980
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F346595-01 Issued in NY
Practice address
100 Piedmont Rd NE
Marietta, GA 30066-3636
Phone
(470) 330-5189
NPI assigned
Jun 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F346595-01 NY
Family Nurse Practitioner 363LF0000X RN223702 GA
Primary Care Nurse Practitioner 363LP2300X RN223702 GA
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RN223702 GA
Primary Care Nurse Practitioner 363LP2300X F346595-01 NY Primary

Addresses

Primary practice location

100 Piedmont Rd NE
Marietta, GA 30066-3636

Mailing address

4990 Promenade Dr SW
Atlanta, GA 30331-8719
Phone (404) 693-0682

Other practice location 1

1512 Locomotive Dr NE
Conyers, GA 30013-1596
Phone (404) 123-4567

Other practice location 2

238 Professional Ct
Riverdale, GA 30274-2557
Phone (770) 471-7402

Other practice location 3

550 Peachtree St NE Ste 1275
Atlanta, GA 30308-2240
Phone (404) 872-3121

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191216003100 GA Practitioner - Nurse Practitioner 2769816206 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
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

3580 Atlanta Ave
Hapeville, GA 30354-1706
Phone (404) 768-3351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN223702GAMDPrimary Care Nurse Practitioner
F346595-01NYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pagemed, LLC Past Accepting new patients
Atlanta Perinatal Associates PastSince Jul 22, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: drobinson1259859@nychhc.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.

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1982199980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 PROMENADE DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318719",
            "telephone_number": "404-693-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PIEDMONT RD NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300663636",
            "telephone_number": "470-330-5189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1512 Locomotive Dr NE",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300131596",
            "country_code": "US",
            "telephone_number": "404-123-4567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "238 Professional Ct",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "GA",
            "postal_code": "302742557",
            "country_code": "US",
            "telephone_number": "770-471-7402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Peachtree St NE Ste 1275",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303082240",
            "country_code": "US",
            "telephone_number": "404-872-3121",
            "fax_number": "404-334-4686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "DENETRA",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F346595-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN223702",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN223702",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "GA",
            "license": "RN223702",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F346595-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.