NPIMap

Organization Active NPI

78TH Medgrp-Robins

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Robins AFB, GA
National Provider Identifier
1205816675
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
78TH MEDGRP-ROBINS
Practice address
655 7TH St
Robins AFB, GA 31098-2227
Phone
(478) 327-8389
Fax
(478) 327-8395
NPI assigned
Jan 20, 2006
Last updated
Jun 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
78TH MEDGRP-ROBINSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Jen Lewandowski
Title
Air Force Uniform Business Office
Phone
(703) 817-4030

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X NU Primary
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center 261QM1101X NU
Military/U.S. Coast Guard Pharmacy 332000000X NU

Addresses

Primary practice location

655 7TH St
Robins AFB, GA 31098-2227

Mailing address

655 7TH St
Robins AFB, GA 31098-2227
Phone (478) 327-8389

Other identifiers 1

IdentifierTypeStateIssuer
11-46756OtherGANCPDP

National Provider Directory

National Provider Directory
Tax ID family
78TH Medgrp-Robins2 organizations share this tax ID, including this one
Part of
78TH Medgrp-Robins

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1205816675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 7TH ST",
            "city": "ROBINS AFB",
            "state": "GA",
            "postal_code": "310982227",
            "telephone_number": "478-327-8389",
            "fax_number": "478-327-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 7TH ST",
            "city": "ROBINS AFB",
            "state": "GA",
            "postal_code": "310982227",
            "telephone_number": "478-327-8389",
            "fax_number": "478-327-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "78TH MEDGRP-ROBINS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "78TH MEDGRP-ROBINS",
        "enumeration_date": "2006-01-20",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "LEWANDOWSKI",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "AIR FORCE UNIFORM BUSINESS OFFICE",
        "authorized_official_telephone_number": "703-817-4030"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1101X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "11-46756",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Robins AFB, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.