Individual provider Active NPI

Robert S Hyslop, M.D.

  • Diagnostic Radiology Physician
  • Carrollton, GA
National Provider Identifier
1093868952
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
053828 Issued in GA
Practice address
705 Dixie Street
Carrollton, GA 30117
Phone
(770) 834-0751
Fax
(770) 834-0753
NPI assigned
Jan 22, 2007
Last updated
Nov 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 053828 GA Primary

Addresses

Primary practice location

705 Dixie Street
Carrollton, GA 30117

Mailing address

PO Box 116186
Atlanta, GA 30368-6186
Phone (770) 834-0751

Other identifiers 2

IdentifierTypeStateIssuer
P00725735OtherGARAILROAD MEDICARE
802739981AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050906000139 GA Practitioner - Diagnostic RadiologyPractitioner - General Practice 3779515317 Reassigns benefits to 3 organizations
I20201103002864 AL Practitioner - Diagnostic Radiology 3779515317
I20221130002857 FL Practitioner - Diagnostic Radiology 3779515317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Georgia School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4740 Polo LN SE
Atlanta, GA 30339-5328
Phone (912) 224-4333

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
053828GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Outpatient Imaging, LLC Diagnostic Radiology CurrentSince Jun 1, 2009 Accepting new patients
Georgia West Imaging, PC Diagnostic Radiology CurrentSince Dec 13, 2007 Accepting new patients
Griffin Imaging, LLC Diagnostic Radiology CurrentSince Jun 1, 2016 Accepting new patients
West Hernando Diagnostic & Mr Center Diagnostic Radiology CurrentSince Jul 25, 2023 Accepting new patients
Griffin Imaging, LLC Diagnostic Radiology CurrentSince Jun 1, 2016 Accepting new patients
Cleveland Clinic Health Services Professional Association, Inc CurrentSince Dec 14, 2022 Accepting new patients
West Hernando Diagnostic and M.R. Center, Inc Diagnostic Radiology CurrentSince Jul 25, 2023 Accepting new patients
Montclair Road Imaging, LLC Past Accepting new patients
Tanner Medical Group Inc Past Accepting new patients

Locations

7615 Jacque Rd
Hudson, FL 34667
Phone (727) 697-0100

3315 Commercial Way
Spring Hill, FL 34606
Phone (325) 688-5860

605 Dixie St
Carrollton, GA 30117
Phone (770) 832-9873

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

220 Rock St
Griffin, GA 30224
Phone (770) 229-4660

655 Will St
Griffin, GA 30224
Phone (770) 229-4660

10 Eastbrook Bnd
Peachtree Cty, GA 30269
Phone (770) 305-4674

5995 Spring St
Warm Springs, GA 31830
Phone (706) 632-4374

4241 Vets Blvd
Ste 200
Metairie, LA 70006

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1093868952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116186",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303686186",
            "telephone_number": "770-834-0751",
            "fax_number": "770-834-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 DIXIE STREET",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "30117",
            "telephone_number": "770-834-0751",
            "fax_number": "770-834-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYSLOP",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "053828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00725735",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "802739981A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.