Individual provider Active NPI

Robert G Palerino, MD

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1194724245
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
028848 Issued in GA
Practice address
7141 Moon Rd
Suite B
Columbus, GA 31909-7294
Phone
(706) 257-9998
Fax
(706) 257-9993
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22677 AL
Family Medicine Physician 207Q00000X 028848 GA Primary

Addresses

Primary practice location

7141 Moon Rd
Suite B
Columbus, GA 31909-7294

Mailing address

7141 Moon Rd
Suite B
Columbus, GA 31909-7294
Phone (706) 257-9998

Other identifiers 5

IdentifierTypeStateIssuer
00366132GMedicaidGA
P00341620OtherGARAILROAD MEDICARE
009928700MedicaidAL
1194724245OtherGANPI
000366132GMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040708000799 AL Practitioner - Emergency Medicine 5991783839 Reassigns benefits to 1 organization
I20040908000691 GA Practitioner - Family PracticePractitioner - Emergency Medicine 5991783839 Practice locations: Columbus, GA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Medical College of Georgia School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7141 Moon Rd
Suite B
Columbus, GA 31909-7293
Phone (706) 257-9998

7141 Moon Rd B
Columbus, GA 31909-7293

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22677ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Staffing Solutions Inc Current Accepting new patients
Central Obstetrics and Gynecology, P.C. Past Accepting new patients
Emergency Medical Specialist Past Accepting new patients
Unified Women'S Care of Georgia, LLC Past Accepting new patients
Robert G. Palerino, MD Family Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500

4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000

4800 48th St
Valley, AL 36854
Phone (334) 756-1401

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1194724245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7141 MOON RD",
            "address_2": "SUITE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319097294",
            "telephone_number": "706-257-9998",
            "fax_number": "706-257-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7141 MOON RD",
            "address_2": "SUITE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319097294",
            "telephone_number": "706-257-9998",
            "fax_number": "706-257-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALERINO",
        "first_name": "ROBERT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "22677",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "028848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00366132G",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00341620",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009928700",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194724245",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000366132G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.