MR. TYRONE G ROBERSON SR. (NPI# 1134428923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134428923 |
Entity Type | Individual |
Full Name | MR. TYRONE G ROBERSON SR. |
Credential | AGPCNP-BC |
Practice Address |
6439 Garners Ferry Columbia SC 29209 |
Practice Telephone | 8037764000 |
Mailing Telephone | 8037764000 |
Enumeration Date | 2011-03-20 |
Last Update Date | 2016-09-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WE0003X |
Registered Nurse Specialization: Emergency |
69630 | SC | Nursing Service Providers |
N | 164W00000X | Licensed Practical Nurse | PR27111 | SC | Nursing Service Providers |
Y | 363L00000X | Nurse Practitioner | 19344 | SC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
6439 GARNERS FERRY |
City | COLUMBIA |
State | SC |
Zip Code | 29209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992293013 | Pertile Group LLC | Family Medicine | 26 Foot Point Rd, Columbia, SC 29209 | 2018-04-24 |
1083156061 | Derek Clark | Physical Therapist | 6349 Garners Ferry Rd, Columbia, SC 29209 | 2016-11-08 |
1922450345 | Heather Alexander | Social Worker | 6439 Garners-ferry Road, Suite 122, Wjb Dorn Va, Columbia, SC 29209 | 2016-07-09 |
1265888325 | Daphne Elaine Allen | Counselor | 1850 Pinview Dr, Columbia, SC 29209 | 2016-05-09 |
1659757649 | Marc Edmundson | Pharmacist | 500 Gills Creek Pkwy #810, Columbia, SC 29209 | 2015-08-03 |
1477949113 | Winter Years Home Health Care Agency, LLC | Home Health | 1101 1st Street, P, Columbia, SC 29209 | 2015-04-09 |
1285045773 | Alireza Adhami | Pharmacist | 7235 Garners Ferry Rd, Columbia, SC 29209 | 2014-05-19 |
1790039212 | Immediate Dental Group Columbia | Dentist | 1118 Greenlawn Drive, Columbia, SC 29209 | 2012-11-06 |
1275896284 | Tariq Horani | Internal Medicine | 6349 Garners Ferry Road, Int Med -, Columbia, SC 29209 | 2012-06-25 |
1902165467 | Medcare Urgent Care Center Garners Ferry, LLC | Clinic/Center | 7418 Garners Ferry Road, Columbia, SC 29209 | 2012-05-03 |
Find all providers in zip 29209 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
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1841806551 | Pamela Louise Smith | Nurse Practitioner | 1605 E Broadway Ste 100, Columbia, MO 65201-8023 | 2020-09-17 |
1518572353 | Lucretia D Sanders | Nurse Practitioner | 4201 Grand St Apt L, Columbia, SC 29203-6668 | 2020-09-09 |
1629698485 | Abigayle Idora Colon | Nurse Practitioner | 55 Burnett Rd, Columbia, KY 42728-9441 | 2020-04-22 |
1245864321 | Mh Health Care Services, PC | Nurse Practitioner | 400 Laurel St Lowr Level, Columbia, SC 29201-2281 | 2020-02-27 |
1649801994 | Jennifer Turner | Nurse Practitioner | 1220 Hardison Rd, Columbia, TN 38401-1350 | 2020-01-27 |
1700429453 | Tyease Mosley | Nurse Practitioner | 4611 Hard Scrabble Rd Ste 189, Columbia, SC 29229-8584 | 2019-10-25 |
1164985834 | Rameka M Reed | Nurse Practitioner | 2301 Blue Ridge Ter, Columbia, SC 29203-1303 | 2019-04-10 |
1366917924 | Brittney Nichole Frazier | Nurse Practitioner | 3020 Sunset Blvd West Columbia Sc 29169, Columbia, SC 29203-2920 | 2018-10-10 |
1295224871 | Palmetto Health - University of South Carolina Medical Group | Nurse Practitioner | 2113 Adams Grv Ste 200, Columbia, SC 29203-6957 | 2018-05-09 |
1730698580 | Jennifer Moon Bailey | Nurse Practitioner | 237 Longtown Rd, Columbia, SC 29229-8550 | 2017-09-25 |
Find all providers in COLUMBIA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.