Individual provider Active NPI

Gary James Robinson, M.D.

  • Family Medicine Physician
  • Lumberton, NC
National Provider Identifier
1457416778
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
94-01319 Issued in NC
Practice address
402 N Pine St
Lumberton, NC 28358-5563
Phone
(910) 739-1666
Fax
(910) 739-6822
NPI assigned
Dec 27, 2006
Last updated
Jun 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 94-01319 NC Primary

Addresses

Primary practice location

402 N Pine St
Lumberton, NC 28358-5563

Mailing address

60 Commerce Plaza Cir
Pembroke, NC 28372-7386
Phone (910) 521-2900

Other identifiers 1

IdentifierTypeStateIssuer
1457416778MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20041110000841 NC Practitioner - Family Practice 9537122049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians
Kog Integrated HealthcareGroup PAC ID 6305361304, 2 clinicians

Practice addresses (Care Compare)

444 SW Ctr St
Faison, NC 28341-8820
Phone (910) 267-0421

460 SW Ctr St
Faison, NC 28341-8820
Phone (910) 267-0951

721 Tilghman Dr
Suite 100
Dunn, NC 28334-6066
Phone (910) 892-5635

801 Tilghman Dr
Suite a
Dunn, NC 28334-4958
Phone (910) 892-4958

810 Elm St
Fayetteville, NC 28303-4152
Phone (984) 229-9005

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94-01319NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Medical Center Incorporated CurrentSince Feb 26, 2018 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Feb 26, 2018 Accepting new patients
Goshen Medical Center, Incorporated Current Accepting new patients
Robeson Health Care Corporation Past Accepting new patients

Locations

801 Tilghman Dr
Ste A
Dunn, NC 28334
Phone (910) 892-6500

444 SW Center St
Faison, NC 28341
Phone (919) 267-0421

3613 Cape Center Dr
Fayetteville, NC 28304
Phone (910) 354-1720

911 Hay St
Fayetteville, NC 28305
Phone (910) 438-0939

103 Cotton Creek Rd
Star, NC 27356
Phone (910) 226-4970

Interoperability endpoints

  • Direct secure messaging: grobinson@goshenmedical.cloudcraftdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1457416778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 COMMERCE PLAZA CIR",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727386",
            "telephone_number": "910-521-2900",
            "fax_number": "910-775-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N PINE ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283585563",
            "telephone_number": "910-739-1666",
            "fax_number": "910-739-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "GARY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "94-01319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457416778",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.