Robert A Ludwick, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

37277 Issued in GA

Practice address

110 Norman Dorminy Dr Ste a
Fitzgerald, GA 31750-8858

Phone

(229) 409-0874

Fax

(229) 424-7392

NPI assigned

Oct 13, 2006

Last updated

Aug 16, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DMC Physician Group LLCGroup PAC ID 8628296845, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Georgia Home Health Services Home health agency, Valdosta, GA, CCN 117058
• Amedisys Home Health Home health agency, Tifton, GA, CCN 117077
• Pruitthealth Hospice-Cordele Hospice, Cordele, GA, CCN 111578
• Dorminy Medical Center Hospital, Fitzgerald, GA, CCN 110073
• Dorminy Medical Center Hospital, Fitzgerald, GA, CCN 111339
• Tift Regional Medical Center Hospital, Tifton, GA, CCN 110095

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• DMC Physician Group LLC

  • Multi-Specialty Clinic/Center
  • Fitzgerald, GA
  • NPI 1124430020
  Medicare reassignment Care Compare group NPD
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  Medicare reassignment NPD
• DMC Physician Group LLC

  dba DMC Primary Care

  • Rural Health Clinic/Center
  • Fitzgerald, GA
  • NPI 1922672120
  NPD
• Thomas R. Mann, M.D.PC

  • Internal Medicine Physician
  • Fitzgerald, GA
  • NPI 1275658783
  NPD
• DMC Physician Group LLC

  dba DMC Internal and Family Medicine Clinic

  • Rural Health Clinic/Center
  • Fitzgerald, GA
  • NPI 1821662008
  NPD (past)
• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Georgia, L.L.C.

  dba Amedisys Home Health

  • Home Health Agency
  • Tifton, GA
  • NPI 1356524359
  Care Compare affiliation
• GHHS Healthcare, LLC

  dba Georgia Home Health Services

  • Home Health Agency
  • Valdosta, GA
  • NPI 1114174992
  Care Compare affiliation
• Hospital Authority of Ben Hill

  dba Dorminy Medical Center

  • Critical Access Hospital
  • Fitzgerald, GA
  • NPI 1245248624
  Care Compare affiliation
• Pruitthealth Hospice, Inc.

  dba PruittHealth Hospice - Cordele

  • Community Based Hospice Care Agency
  • Cordele, GA
  • NPI 1154369247
  Care Compare affiliation
• Tift Regional Health System Inc.

  dba Tift Regional Medical Center

  • General Acute Care Hospital
  • Tifton, GA
  • NPI 1962462226
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1043300999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1447",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317501447",
            "telephone_number": "229-424-7100",
            "fax_number": "229-424-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NORMAN DORMINY DR STE A",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317508858",
            "telephone_number": "229-409-0874",
            "fax_number": "229-424-7392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Norman Dorminy Dr",
            "address_purpose": "LOCATION",
            "city": "Fitzgerald",
            "state": "GA",
            "postal_code": "317508858",
            "country_code": "US",
            "telephone_number": "229-424-0134 x33",
            "fax_number": "229-424-9383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 Norman Dorminy Dr",
            "address_purpose": "LOCATION",
            "city": "Fitzgerald",
            "state": "GA",
            "postal_code": "317508858",
            "country_code": "US",
            "telephone_number": "229-424-0134 x33",
            "fax_number": "229-424-9383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUDWICK",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "37277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000566948E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry E Forth O D P C (Colony Optical)
• Samantha Leyse
• LF SNF LLC (Life Care Center)
• James Edwin Luckie Jr., D.O.
• Lisa Marie Luckie, FNP-C
• Warren Manley
• Thomas R Mann, M.D.PC
• Wayne S Maris, DDS
• Skylar Dorough Martin, FNP-BC
• Laquinta M Mason

• General Practice Physician in Fitzgerald, GA
• Providers in Fitzgerald, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.

Verify at the official NPI Registry.