Active NPI
Denetra Elaine Robinson
- Primary Care Nurse Practitioner
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- F346595-01
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN223702 | GA | MD | Primary Care Nurse Practitioner |
| F346595-01 | NY | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pagemed, LLC | Past | Accepting new patients | |
| Atlanta Perinatal Associates | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Maternal & Fetal Medicine Physician
- Atlanta, GA
- NPI 1104973064
-
- Maternal & Fetal Medicine Physician
- Macon, GA
- NPI 1619274180
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.