Active NPI
Lawrence a Robillard MD PC
- Obstetrics & Gynecology Physician
- Augusta, GA
National Provider Identifier
1043614712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 48817
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000673956A | Medicaid | GA | |
| G48817 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI 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.