Active NPI
Richard Mark Robinson, M.D.
- Obstetrics & Gynecology Physician
- Conyers, GA
National Provider Identifier
1023077088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 038936
- Practice address
- 3240 Avalon Blvd
Conyers, GA 30013-6320 - Phone
- (770) 860-1133
- Fax
- (770) 860-1599
- NPI assigned
- Mar 20, 2006
- Last updated
- Nov 19, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 038936 | GA | Primary |
Addresses
Primary practice location
3240 Avalon Blvd
Conyers, GA 30013-6320
Mailing address
3240 Avalon Blvd
Conyers, GA 30013-6320
Phone (770) 860-1133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00615469E | Medicaid | GA |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038936 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greystone OBGYN PC | Current | Accepting new patients |
Locations
3240 Avalon Blvd
Conyers, GA 30013
Phone (770) 860-1133
Interoperability endpoints
- richard@greystoneobgyn.gwaydirect.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321660800000",
"number": "1023077088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3240 AVALON BLVD",
"city": "CONYERS",
"state": "GA",
"postal_code": "300136320",
"telephone_number": "770-860-1133",
"fax_number": "770-860-1599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3240 AVALON BLVD",
"city": "CONYERS",
"state": "GA",
"postal_code": "300136320",
"telephone_number": "770-860-1133",
"fax_number": "770-860-1599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "RICHARD",
"middle_name": "MARK",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-20",
"last_updated": "2011-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "038936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00615469E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.