Dar Robinson, PA – Medical Physician Assistant

Key facts

NPI: 1366020844
Entity type: Individual (NPI type 1)
Primary specialty: Medical Physician Assistant 363AM0700X
License: 10403 (GA)
Practice address: 25 W Lyon St
Tallapoosa, GA 30176-1288
Phone: (770) 812-2800
NPI assigned: Mar 29, 2021
Sex: Male
Sole proprietor: Yes

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 and National Provider Directory roles.

TMC Tallapoosa Family Healthcare Center Rural Health Clinic/Center · Tallapoosa, GA · NPI 1497760243

Medicare reassignment Care Compare group GA
TMC Haralson Family Healthcare Center Rural Health Clinic/Center · Bremen, GA · NPI 1992710610

NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

TMC/Higgins General Hospital Critical Access Hospital · Bremen, GA · NPI 1194712083

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Physician Assistant
Education: Other, 2021
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: TMC Tallapoosa Family Healthcare Center (3 clinicians)

Practice addresses (Care Compare)

25 W Lyon St
Tallapoosa, GA 30176-1288
Phone (770) 824-2800

Hospital & facility affiliations

Higgins General Hospital Hospital · Bremen, GA · CCN 111320

Medicare participation

Medicare fee-for-service enrollment: Enrolled in GA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20210525002012	GA	Practitioner - Physician Assistant	4284033226	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

State licenses

License	State	Type	Specialty
10403	GA	MD	Medical Physician Assistant

Practice roles

Organization	Specialty	Status	New patients
TMC Haralson Family Healthcare Center		Past since Aug 13, 2023	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X
Surgical Physician Assistant	363AS0400X
Medical Physician Assistant	363AM0700X	10403	GA	Yes

Addresses

Primary practice location

25 W Lyon St
Tallapoosa, GA 30176-1288

Mailing address

25 W Lyon St
Tallapoosa, GA 30176-1288
Phone (770) 812-2800

Other providers in Tallapoosa, GA

All providers in Tallapoosa, GA · Medical Physician Assistant in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.