Individual provider Active NPI

Robert Scott Libby, MD

  • Urology Physician
  • Stockbridge, GA
National Provider Identifier
1225534316
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
95847 Issued in GA
Practice address
180 N Park TRL Ste 100
Stockbridge, GA 30281-7372
Phone
(770) 474-5281
Fax
(770) 389-8674
NPI assigned
Apr 5, 2018
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 95847 GA Primary

Addresses

Primary practice location

180 N Park TRL Ste 100
Stockbridge, GA 30281-7372

Mailing address

180 N Park TRL Ste 100
Stockbridge, GA 30281-7372
Phone (770) 474-5281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230621000579 GA Practitioner - Urology 2567820772 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Tulane University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology of Greater Atlanta LLCGroup PAC ID 5294783734, 12 clinicians
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

685 S 9TH St
Griffin, GA 30224-4215
Phone (770) 474-5281

775 Poplar Rd
Suite 160
Newnan, GA 30265-8300
Phone (770) 400-4630

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95847GAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Providers LLC CurrentSince Jul 1, 2025 Accepting new patients
Urology of Greater Atlanta LLC CurrentSince Aug 1, 2023 Accepting new patients
Diagnostic Imaging Specialists PA Past Accepting new patients

Locations

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

4143 Hospital Dr NE
Covington, GA 30014
Phone (770) 787-2674

685 S 9th St
Griffin, GA 30224

7823 Spivey Station Blvd
Ste 210
Jonesboro, GA 30236
Phone (678) 610-2916

775 Poplar Rd
Ste 160
Newnan, GA 30265
Phone (770) 400-4630

1100 Lake Hearn Dr
Ste 320
Sandy Springs, GA 30342
Phone (404) 257-1858

180 N Park Trl
#200
Stockbridge, GA 30281
Phone (678) 565-1806

180 N Park Trl
Ste 100
Stockbridge, GA 30281

180 N Park Trl
Ste 210
Stockbridge, GA 30281

290 Country Club Dr
Ste 100
Stockbridge, GA 30281
Phone (678) 854-9500

290 Country Club Dr
Ste 230
Stockbridge, GA 30281

Interoperability endpoints

  • Direct secure messaging: rlibby@uga1669.srs-direct.com

Organizations & group practices 3

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 3

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": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1225534316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N PARK TRL STE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817372",
            "telephone_number": "770-474-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N PARK TRL STE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817372",
            "telephone_number": "770-474-5281",
            "fax_number": "770-389-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBBY",
        "first_name": "ROBERT",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-05",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "95847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.