Individual provider Active NPI

Lindsey Marie Robinson

  • Family Nurse Practitioner
  • Warner Robins, GA
National Provider Identifier
1992436604
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN277779 Issued in GA
Practice address
101 Willie Lee Pkwy Ste 400
Warner Robins, GA 31088-9245
Phone
(478) 477-0966
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN277779 GA Primary

Addresses

Primary practice location

101 Willie Lee Pkwy Ste 400
Warner Robins, GA 31088-9245

Mailing address

101 Willie Lee Pkwy Ste 400
Warner Robins, GA 31088-9245
Phone (478) 477-0966

Other practice location 1

6501 Peake Rd Ste 400
Macon, GA 31210-8046
Phone (478) 477-0966

Other names 1

  • Lindsey Marie King Former name

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
I20220727002595 GA Practitioner - Nurse Practitioner 4688056377 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Primary Care, LLC CurrentSince Jun 1, 2022 Accepting new patients
Southern Primary Care, LLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

6501 Peake Rd
Ste 400
Macon, GA 31210
Phone (478) 477-0966

197 Bass Rd
Macon, GA 31210
Phone (478) 365-2164

101 Willie Lee Pkwy
Ste 400
Warner Robins, GA 31088
Phone (478) 242-3880

Interoperability endpoints

  • Direct secure messaging: lindsey.robinson@spcamga.eclinicaldirectplus.com

Organizations & group practices 2

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": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1992436604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WILLIE LEE PKWY STE 400",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889245",
            "telephone_number": "478-477-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WILLIE LEE PKWY STE 400",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889245",
            "telephone_number": "478-477-0966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6501 Peake Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312108046",
            "country_code": "US",
            "telephone_number": "478-477-0966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "LINDSEY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN277779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "KING",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.