MR. PAUL ROBERTSON MS, RDN, LDN
NPI 1770718298
Dietitian, Registered - Nutrition, Metabolic in Jackson, MS

Active since May 28, 2009Accepts Medicare Assignment
69.83/100
CMS Quality Rating
350 WEST WOODROW WILSON AVENUE, AMBULATORY SERVICES - OUTPATIENT DIETITIAN, JACKSON, MS 39213(601) 815-2500(601) 984-4074 Get Directions Write a Review

NPPES record last updated: January 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Paul Robertson Ms, Rdn, Ldn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PAUL ROBERTSON MS, RDN, LDN (NPI 1770718298) is an individual nutrition, metabolic provider in Jackson, Mississippi, licensed in Mississippi (D1361) and active in the NPI registry since May 2009. He is a graduate of Other (2009).

NPPES Registry Identity

NPI1770718298
Entity TypeIndividualMale
Primary Taxonomy133VN1006X
Provider Legal NameMR. PAUL ROBERTSONCredential: MS, RDN, LDN
Location Address350 WEST WOODROW WILSON AVENUE, AMBULATORY SERVICES - OUTPATIENT DIETITIANJackson, MS 39213
Mailing Address350 West Woodrow Wilson Avenue, Ambulatory Services - Outpatient DietitianJackson, MS 39213 · (601) 815-2500 · Fax (601) 984-4074
Fax(601) 984-4074
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 28, 2009
Last NPPES UpdateJanuary 27, 2016
NPI 1770718298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, Registered · Nutrition, MetabolicDietary & Nutritional Service Providers
Taxonomy Code133VN1006X
License Licensed in MS · D1361
Definition
A registered dietitian who achieves specialized competency in metabolic nutrition.
350 WEST WOODROW WILSON AVENUE, Jackson, MS 39213

Other Identifiers 1

Medicare PIN302I717177MS

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Paul Robertson Ms, Rdn, Ldn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628244100
PECOS Enrollment IDI20120104000835

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.08
Promoting Interoperability83
Improvement Activities40
Cost48.31

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
350 WEST WOODROW WILSON AVENUE, HINDS COUNTY HEALTH DEPARTMENT SUITE 411-A
JACKSON, MS 39213
Home Health Aide
350 WEST WOODROW WILSON AVENUE, SUITE 145
JACKSON, MS 39213
Dietitian, Registered
350 WEST WOODROW WILSON AVENUE, 2ND FLOOR, RENAL CLINIC
JACKSON, MS 39213

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Robertson's NPI number?

The NPI number for Paul Robertson is 1770718298. It was assigned to this individual provider in the NPPES registry on May 28, 2009.

Where is Paul Robertson located?

Paul Robertson practices at 350 West Woodrow Wilson Avenue Ambulatory Services - Outpatient Dietitian, Jackson, MS 39213. The listed phone number is (601) 815-2500.

What is Paul Robertson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Metabolic, with taxonomy code 133VN1006X.

Is Paul Robertson enrolled in Medicare?

Yes. Paul Robertson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Robertson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Paul Robertson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Robertson was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.