Active NPI
Robin Loe, MD
- Family Medicine Physician
- Woodstock, GA
National Provider Identifier
1396719084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 053831
- Practice address
- 900 Towne Lake Pkwy
Ste 410
Woodstock, GA 30189-1602 - Phone
- (678) 445-0819
- Fax
- (678) 445-0927
- NPI assigned
- Feb 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 053831 | GA | Primary |
Addresses
Primary practice location
900 Towne Lake Pkwy
Ste 410
Woodstock, GA 30189-1602
Mailing address
900 Towne Lake Pkwy
Ste 410
Woodstock, GA 30189-1602
Phone (678) 445-0819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 862469460E | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053831 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Acworth Family Practice, LLC | Family Medicine | Past | Accepting new patients |
| Wellstar Cornerstone Family Medicine, LLC | Family Medicine | Past | Accepting new patients |
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.
-
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Family Medicine
-
- Family Medicine Physician
- Acworth, GA
- NPI 1518912518
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486080000000",
"number": "1396719084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 TOWNE LAKE PKWY",
"address_2": "STE 410",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301891602",
"telephone_number": "678-445-0819",
"fax_number": "678-445-0927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 TOWNE LAKE PKWY",
"address_2": "STE 410",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301891602",
"telephone_number": "678-445-0819",
"fax_number": "678-445-0927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOE",
"first_name": "ROBIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-17",
"last_updated": "2017-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "053831",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "862469460E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.