Shae Ala Robinson, PA-C, ATC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

7159 Issued in GA

Practice address

1661 W McIntosh Rd
Griffin, GA 30223-1717

Phone

(770) 223-4668

NPI assigned

May 27, 2014

Last updated

May 28, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Grady Memorial Hospital Corporation

  dba Grady Health System

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1114243813
  NPD

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1437561370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 E CONFEDERATE AVE SE UNIT DN",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303162562",
            "telephone_number": "313-574-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 W MCINTOSH RD",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302231717",
            "telephone_number": "770-223-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "SHAE",
        "middle_name": "ALA",
        "credential": "PA-C, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "7159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portia Risper, FNP-BC
• Anthony N Rives, PA-C
• Charles Logan Roberts, RPH
• Christy Leigh Roberts, RD, LD
• Marian Robinson
• Sierriena Shanon Robinson
• Wendell Robinson, RN
• Rocky Mountain Holdings, LLC (Air Life Georgia)
• Deborah Ann Rodano
• Diana Rodgers-Soriano, MD

• Physician Assistant in Griffin, GA
• Providers in Griffin, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.