Individual provider Active NPI

John W Robison, MD

  • Orthopaedic Surgery Physician
  • Vidalia, GA
National Provider Identifier
1477055606
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
100000 Issued in GA
Practice address
3301 E 1St St Ste a
Vidalia, GA 30474-8674
Phone
(312) 537-4411
Fax
(912) 538-8485
NPI assigned
Mar 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 100000 GA Primary

Addresses

Primary practice location

3301 E 1St St Ste a
Vidalia, GA 30474-8674

Mailing address

3301 E 1St St Ste a
Vidalia, GA 30474-8674
Phone (312) 537-4411

Other practice location 1

242 Industrial Blvd.
Vidalia, GA 31023
Phone (478) 272-3140

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
I20240711000847 GA Practitioner - Orthopedic Surgery 7214397264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Mercer University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark Spivey Orthopedic Clinic LLCGroup PAC ID 5395797336, 12 clinicians

Practice addresses (Care Compare)

3301 1St St E
Suite a
Vidalia, GA 30474
Phone (912) 537-4411

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Vidalia, GA, CCN 117075
  • Memorial Health Meadows Hospital Hospital, Vidalia, GA, CCN 110128
  • Optim Medical Center - Tattnall Hospital, Reidsville, GA, CCN 111323
  • Jeff Davis Hospital Hospital, Hazlehurst, GA, CCN 111333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement11
Knee replacement14
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Spivey Orthopedic Clinic, LLC Orthopaedic Surgery CurrentSince Jul 1, 2024 Accepting new patients
Hospital Authority of Jeff Davis County Georgia Past Accepting new patients
Tattnall Hospital Company, LLC Past Accepting new patients

Locations

604 E Long St
Claxton, GA 30417
Phone (912) 537-4411

242 Industrial Blvd
Dublin, GA 31021
Phone (478) 272-3140

15 Yarbrough St
Hazlehurst, GA 31539
Phone (912) 375-0755

3301 E 1st St
#A
Vidalia, GA 30474
Phone (912) 537-4411

Interoperability endpoints

  • Direct secure messaging: jrobison@spiveyortho.emadirect.md

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1520121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1477055606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 E 1ST ST STE A",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748674",
            "telephone_number": "312-537-4411",
            "fax_number": "912-538-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 E 1ST ST STE A",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748674",
            "telephone_number": "312-537-4411",
            "fax_number": "912-538-8485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 Industrial Blvd.",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "31023",
            "country_code": "US",
            "telephone_number": "478-272-3140",
            "fax_number": "912-538-8485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBISON",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-04",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "100000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, GA

Sources for this page

Verify at the official NPI Registry.