Individual provider Active NPI

Donald Ray Robinson, MD

  • Obstetrics & Gynecology Physician
  • Bainbridge, GA
National Provider Identifier
1326060187
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
22631 Issued in GA
Practice address
1501 E Miluli Avenue
Bainbridge, GA 39819
Phone
(229) 243-0152
Fax
(229) 246-1683
NPI assigned
Jul 24, 2006
Last updated
Sep 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 22631 GA Primary

Addresses

Primary practice location

1501 E Miluli Avenue
Bainbridge, GA 39819

Mailing address

1501 E Miluli Avenue
Bainbridge, GA 39819
Phone (229) 243-0152

Other identifiers 2

IdentifierTypeStateIssuer
022631OtherGAMEDICAL LICENSE
00347289AMedicaidGA

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
I20111121000653 GA Practitioner - Obstetrics/Gynecology 4486828860 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of the City of Bainbridge and Decatur County Georgi CurrentSince Feb 22, 2014 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County CurrentSince Feb 22, 2014 Accepting new patients

Locations

1501 Miluli Ave
Bainbridge, GA 39819
Phone (229) 243-0152

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1326060187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E MILULI AVENUE",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "39819",
            "telephone_number": "229-243-0152",
            "fax_number": "229-246-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E MILULI AVENUE",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "39819",
            "telephone_number": "229-243-0152",
            "fax_number": "229-246-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "DONALD",
        "middle_name": "RAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "22631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "022631",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00347289A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge, GA

Sources for this page

Verify at the official NPI Registry.