Individual provider Active NPI

Robert R Langford, PA

  • Physician Assistant
  • Gainesville, GA
National Provider Identifier
1386799054
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2153 Issued in GA
Practice address
200 S Enota Dr NE Ste 380
Gainesville, GA 30501-3475
Phone
(770) 219-7099
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2153 GA
Physician Assistant 363A00000X 2153 GA Primary
Physician Assistant 363A00000X 085008529 IL

Addresses

Primary practice location

200 S Enota Dr NE Ste 380
Gainesville, GA 30501-3475

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

5665 Peachtree Dunwoody Rd NE
Suite 150
Atlanta, GA 30342-1701
Phone (404) 252-6104

Other practice location 2

2151 Waukegan Rd # 100
Bannockburn, IL 60015-1885
Phone (847) 570-2868

Other identifiers 2

IdentifierTypeStateIssuer
970002274OtherGARR MEDICARE
051593530AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rlangford211102@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101213000705 GA Practitioner - Physician Assistant 5294922837 Reassigns benefits to 1 organization
I20251216001255 FL Practitioner - Physician Assistant 5294922837

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4692

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2153GAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Cardiology Network, LLC CurrentSince Jan 26, 2026 Accepting new patients
Northeast Georgia Physicians Group Inc Physician Assistant CurrentSince Dec 17, 2024 Accepting new patients
Cardiology Consultants Past Accepting new patients
Peachatree Cardiovascular & Thoracic Surgeons, P.a. PastSince Jul 23, 1992 Accepting new patients
Peachtree Cardiovascular & Thoracic Surgeons PA Past Accepting new patients
Peachtree Cardiovascular Surgeons at Saint Joseph's LLC Past Accepting new patients
Michael Wahl MD PA PastSince Jan 26, 2026 Accepting new patients

Locations

13910 Lakeshore Blvd
Ste 140
Hudson, FL 34667
Phone (727) 862-3548

1530 Lee Blvd
Ste 1100
Lehigh Acres, FL 33936
Phone (239) 303-2600

6006 49th St N
Ste 200
St Petersburg, FL 33709
Phone (727) 381-9696

9332 State Road 54
Ste 405
Trinity, FL 34655
Phone (727) 375-8264

12169 Mercado Dr
Ste 6B
Venice, FL 34293
Phone (941) 782-0505

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

200 S Enota Dr NE
Ste 380
Gainesville, GA 30501
Phone (770) 219-7099

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14714/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/4692/brand/27/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, 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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1386799054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ENOTA DR NE STE 380",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013475",
            "telephone_number": "770-219-7099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5665 Peachtree Dunwoody Rd NE",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421701",
            "country_code": "US",
            "telephone_number": "404-252-6104",
            "fax_number": "404-847-9683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2151 Waukegan Rd # 100",
            "address_purpose": "LOCATION",
            "city": "Bannockburn",
            "state": "IL",
            "postal_code": "600151885",
            "country_code": "US",
            "telephone_number": "847-570-2868",
            "fax_number": "847-733-5005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGFORD",
        "first_name": "ROBERT",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "2153",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "2153",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085008529",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "970002274",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051593530A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rlangford211102@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 S Enota Dr NE Ste 380",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305013475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.