Individual provider Active NPI

Guy W Robins, M.D.

  • Family Medicine Physician
  • Johnson City, TN
National Provider Identifier
1295799120
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD28544 Issued in TN
Practice address
808 Lazywood Dr
Johnson City, TN 37601-8917
Phone
(423) 794-1800
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD28544 TN Primary

Addresses

Primary practice location

808 Lazywood Dr
Johnson City, TN 37601-8917

Mailing address

808 Lazywood Dr
Johnson City, TN 37601-8917

Other identifiers 2

IdentifierTypeStateIssuer
3039016OtherTNBCBS
3804717MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20070202000427 TN Practitioner - Family Practice 6901838820 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD28544TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Franklin Healthcare Associates PLLC Family Medicine CurrentSince Jan 1, 2007 Accepting new patients
Summit Medical Group, PLLC Past Accepting new patients
State of Franklin Healthcare Associates PLLC PastSince Aug 18, 2019 Accepting new patients

Locations

101 Med Tech Pkwy
Ste 100
Johnson City, TN 37604
Phone (423) 431-7626

5 Worth Cir
Ste 4
Johnson City, TN 37601
Phone (423) 282-4819

313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819

1021 W Oakland Ave
Ste 301
Johnson City, TN 37604
Phone (423) 915-5234

215 E Springbrook Dr
Johnson City, TN 37601
Phone (423) 530-7900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1295799120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 LAZYWOOD DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376018917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 LAZYWOOD DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376018917",
            "telephone_number": "423-794-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINS",
        "first_name": "GUY",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD28544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3039016",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3804717",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.