Individual provider Active NPI

Robert Glen Bashuk, M.D.

  • Neurology Physician
  • Atlanta, GA
National Provider Identifier
1316940547
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
026451 Issued in GA
Practice address
2200 Century Pkwy NE
Atlanta, GA 30345-3154
Phone
(404) 946-9327
Fax
(833) 941-2436
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 026451 GA Primary

Addresses

Primary practice location

2200 Century Pkwy NE
Atlanta, GA 30345-3154

Mailing address

2200 Century Pkwy NE Ste 260
Atlanta, GA 30345-3103
Phone (404) 946-9327

Other identifiers 2

IdentifierTypeStateIssuer
130014132OtherGARAILROAD MEDICARE
000345639SMedicaidGA

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
I20050208000022 GA Practitioner - Neurology 3779534748 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Medical College of Georgia School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Concussion CenterGroup PAC ID 5890188494, 2 clinicians

Practice addresses (Care Compare)

2200 Century Pkwy NE
Suite 260
Atlanta, GA 30345-3103
Phone (404) 267-1818

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Neurology, P.C. Neurology Current Accepting new patients
Topple Diagnostics CurrentSince Oct 23, 2021 Accepting new patients
The Concussion Center CurrentSince Oct 29, 2021 Accepting new patients
American Health Imaging of Georgia, LLC Past Accepting new patients
Quantum Medical Radiology PC Past Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients
North Atlanta Scan Associates Inc Past Accepting new patients

Locations

2200 Century Pkwy NE
Ste 260
Atlanta, GA 30345
Phone (404) 267-1818

3875 Austell Rd
Ste 204
Austell, GA 30106
Phone (770) 819-1717

4460 Austell Rd
Austell, GA 30106
Phone (770) 941-4716

880 Crestmark Dr
Ste 105
Lithia Spgs, GA 30122
Phone (770) 941-9590

2520 Windy Hill Rd SE
Ste 107
Marietta, GA 30067
Phone (770) 952-0255

Interoperability endpoints

  • Direct secure messaging: robert.bashuk.1@25039.direct.athenahealth.com
  • Direct secure messaging: rbashuk63856@directwellstar.org
  • FHIR API: https://api.platform.athenahealth.com/25039/brand/2/csg/1/fhir/r4

Organizations & group practices 7

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1316940547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 CENTURY PKWY NE STE 260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453103",
            "telephone_number": "404-946-9327",
            "fax_number": "833-941-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 CENTURY PKWY NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453154",
            "telephone_number": "404-946-9327",
            "fax_number": "833-941-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHUK",
        "first_name": "ROBERT",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "026451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130014132",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000345639S",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.