Organization Active NPI

Lawrence a Robillard MD PC

  • Obstetrics & Gynecology Physician
  • Augusta, GA
National Provider Identifier
1043614712
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
48817 Issued in GA
Legal business name
LAWRENCE A ROBILLARD MD PC
Practice address
1115 Garredd Blvd
Augusta, GA 30909-6674
Phone
(706) 922-0101
Fax
(706) 364-0056
NPI assigned
Oct 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Dr. Lawrence A Robillard, MD
Title
President
Phone
(706) 513-8119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 48817 GA Primary

Addresses

Primary practice location

1115 Garredd Blvd
Augusta, GA 30909-6674

Mailing address

3521 Granite Way
Martinez, GA 30907-8969
Phone (706) 513-8119

Other identifiers 2

IdentifierTypeStateIssuer
000673956AMedicaidGA
G48817MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1043614712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 GRANITE WAY",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309078969",
            "telephone_number": "706-513-8119",
            "fax_number": "706-432-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 GARREDD BLVD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096674",
            "telephone_number": "706-922-0101",
            "fax_number": "706-364-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE A ROBILLARD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "ROBILLARD",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-513-8119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "48817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000673956A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G48817",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.