Robert Mitchell Ermentrout, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

74032 Issued in GA

Practice address

1199 Prince Ave
Athens, GA 30606-2797

Phone

(706) 850-6186

NPI assigned

Apr 28, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, CA, MI3 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

Specialty

Diagnostic RadiologyAlso: Interventional Radiology

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Associates of North GeorgiaGroup PAC ID 2769715044, 36 clinicians

Athens Radiology Associates PCGroup PAC ID 2860486107, 34 clinicians

Saint Agnes Medical FoundationGroup PAC ID 7618946369, 161 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074
• Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
• Piedmont Walton Hospital Hospital, Monroe, GA, CCN 110046
• St Mary'S Hospital Hospital, Athens, GA, CCN 110006
• Northside Hospital Hospital, Atlanta, GA, CCN 110161

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CAGAED/Endpoint/CAGAED
• FHIR API: https://api.platform.athenahealth.com/18604/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Athens Radiology Associates PC

  • Diagnostic Radiology Physician
  • Athens, GA
  • NPI 1932189685
  Medicare reassignment Care Compare group NPD
• Radiology Associates of North Georgia

  • Diagnostic Radiology Physician
  • Athens, GA
  • NPI 1285124834
  Medicare reassignment Care Compare group NPD
• Saint Agnes Medical Foundation

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1558819482
  Medicare reassignment Care Compare group NPD
• M & B Imaging, PC

  • Radiology Clinic/Center
  • Gainesville, GA
  • NPI 1932624723

  Diagnostic Radiology

  Medicare reassignment NPD
• Pro Radiology, LLC

  • Radiology Clinic/Center
  • Atlanta, GA
  • NPI 1164966461
  Medicare reassignment NPD
• Synergy Radiology, LLC

  • Radiology Clinic/Center
  • Conyers, GA
  • NPI 1558886341

  Diagnostic Radiology

  Medicare reassignment NPD
• Forefront Radiology Medical Group PC

  • Diagnostic Radiology Physician
  • Fresno, CA
  • NPI 1689232449

  GA

  Medicare reassignment NPD
• Radiant Vascular Institute PC

  • Vascular & Interventional Radiology Physician
  • Novi, MI
  • NPI 1740162973
  Medicare reassignment NPD
• Grand Traverse Radiologists PC

  • Diagnostic Radiology Physician
  • Traverse City, MI
  • NPI 1760404891
  Medicare reassignment
• American Health Imaging of Georgia LLC

  • Radiology Clinic/Center
  • Newnan, GA
  • NPI 1144206764
  NPD
• American Health Imaging of Georgia, LLC

  • Radiology Clinic/Center
  • Athens, GA
  • NPI 1255091898
  NPD
• Pro Radiology, LLC

  • Radiology Clinic/Center
  • Johns Creek, GA
  • NPI 1942733308

  Diagnostic Radiology

  NPD

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

• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1457396079
  Care Compare affiliation
• Piedmont Athens Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Athens, GA
  • NPI 1437186111
  Care Compare affiliation
• Piedmont Walton Hospital Inc

  • General Acute Care Hospital
  • Monroe, GA
  • NPI 1720589328
  Care Compare affiliation
• St. Mary'S Hospital, Inc.

  • General Acute Care Hospital
  • Athens, GA
  • NPI 1871556621
  Care Compare affiliation
• Saint Agnes Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1205845567
  Care Compare affiliation

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1124345376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 HUNTINGTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091504",
            "telephone_number": "404-877-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062797",
            "telephone_number": "706-850-6186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 E Herndon Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203333",
            "country_code": "US",
            "telephone_number": "559-450-6742",
            "fax_number": "559-450-6743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "172 Huntington Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303091504",
            "country_code": "US",
            "telephone_number": "404-877-2707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25500 Meadowbrook Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483751879",
            "country_code": "US",
            "telephone_number": "248-488-7950",
            "fax_number": "248-488-7951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERMENTROUT",
        "first_name": "ROBERT",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-28",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "74032",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A118012",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "74032",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A118012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Erickson, RN
• Brandi Erickson, D.C.
• Jay Merwin Erickson, D.C.
• Jordan Edward Erickson
• Erika Heinzle, Ms, LPC, LLC
• Thalia Bando Escobedo, LCSW
• Brandi N Escoe
• Kenny H Esho, M.D.
• Lindsay Fussell Estep
• Elizabeth Estes, RN

• Vascular & Interventional Radiology Physician in Athens, GA
• Providers in Athens, GA by specialty
• Vascular & Interventional Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.