Active NPI
Robert Pierre Dourron, MD
- Obstetrics & Gynecology Physician
- Decatur, GA
National Provider Identifier
1417088600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 048617
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000873386A | Medicaid | GA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100831000757 | GA | Practitioner - Obstetrics/Gynecology | 9739262312 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Hospital, Inc. | Past | Accepting new patients | |
| Georgia Prenatal LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Medical Specialty Clinic/Center
- Lilburn, GA
- NPI 1205334620
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.