Individual provider Active NPI

Robert Pierre Dourron, MD

  • Obstetrics & Gynecology Physician
  • Decatur, GA
National Provider Identifier
1417088600
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
048617 Issued in GA
Practice address
2675 N Decatur Rd Ste 301
Decatur, GA 30033-6132
Phone
(404) 294-0472
Fax
(404) 294-1558
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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 048617 GA Primary

Addresses

Primary practice location

2675 N Decatur Rd Ste 301
Decatur, GA 30033-6132

Mailing address

2675 N Decatur Rd Ste 301
Decatur, GA 30033-6132
Phone (404) 294-0472

Other identifiers 1

IdentifierTypeStateIssuer
000873386AMedicaidGA

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
I20100831000757 GA Practitioner - Obstetrics/Gynecology 9739262312

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Hospital, Inc. Past Accepting new patients
Georgia Prenatal LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: robert.dourron.1@15540.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1417088600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 N DECATUR RD STE 301",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336132",
            "telephone_number": "404-294-0472",
            "fax_number": "404-294-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N DECATUR RD STE 301",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336132",
            "telephone_number": "404-294-0472",
            "fax_number": "404-294-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOURRON",
        "first_name": "ROBERT",
        "middle_name": "PIERRE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "048617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000873386A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.