Active NPI
Robert Alvin Foster III, PSY.D.
- Psychologist
- Macon, GA
National Provider Identifier
1083669899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY002944
- Practice address
- 3351 Northside Dr
Macon, GA 31210-2587 - Phone
- (478) 201-6636
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY002944 | GA | |
| Clinical Neuropsychologist | 103G00000X | PSY002944 | GA | |
| Rehabilitation Psychologist | 103TR0400X | PSY002944 | GA | |
| Psychologist | 103T00000X | PSY002944 | GA | Primary |
Addresses
Primary practice location
3351 Northside Dr
Macon, GA 31210-2587
Mailing address
PO Box 7924
Macon, GA 31209-7924
Phone (478) 201-6636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY002944 | GA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1083669899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7924",
"city": "MACON",
"state": "GA",
"postal_code": "312097924",
"telephone_number": "478-201-6636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3351 NORTHSIDE DR",
"city": "MACON",
"state": "GA",
"postal_code": "312102587",
"telephone_number": "478-201-6636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "ROBERT",
"middle_name": "ALVIN",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY002944",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "GA",
"license": "PSY002944",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "GA",
"license": "PSY002944",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY002944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.