Individual provider Active NPI

Kirby Robbins, PA-C, MSC

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1285396325
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11705 Issued in NC
Practice address
5718 W Gate City Blvd
Greensboro, NC 27407-7039
Phone
(336) 738-1691
NPI assigned
Oct 6, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-11705 NC Primary

Addresses

Primary practice location

5718 W Gate City Blvd
Greensboro, NC 27407-7039

Mailing address

1912 Eastchester Dr
Suite 302
High Point, NC 27265
Phone (336) 438-2260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211028002714 NC Practitioner - Physician Assistant 7810385572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mediq Urgent Care PCGroup PAC ID 9133422306, 11 clinicians

Practice addresses (Care Compare)

10102 S Main St
Suite U
Archdale, NC 27263-3183
Phone (336) 900-1441

12201 N NC Hwy 150
Suite 11
Winston Salem, NC 27127-9731
Phone (336) 738-1691

5718 W Gate City Blvd
Greensboro, NC 27407-7039
Phone (336) 738-1691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mediq Urgent Care PC CurrentSince Aug 20, 2021 Accepting new patients
Pinnacle Medical Group, Inc. Past Accepting new patients

Locations

5718 W Gate City Blvd
Greensboro, NC 27407
Phone (336) 738-1691

1912 Eastchester Dr
Ste 302
High Point, NC 27265
Phone (336) 438-2260

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1285396325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 EASTCHESTER DR",
            "address_2": "SUITE 302",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "27265",
            "telephone_number": "336-438-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5718 W GATE CITY BLVD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274077039",
            "telephone_number": "336-738-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "KIRBY",
        "credential": "PA-C, MSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.