Individual provider Active NPI

Reese Sy Robinson, PA-C

  • Physician Assistant
  • Gonzales, LA
National Provider Identifier
1487471132
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
344080 Issued in LA
Practice address
1014 West St. Clare Blvd
Ste. 1000
Gonzales, LA 70737
Phone
(225) 215-4417
NPI assigned
Sep 24, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 344080 LA Primary

Addresses

Primary practice location

1014 West St. Clare Blvd
Ste. 1000
Gonzales, LA 70737

Mailing address

1014 Saint Clair Blvd Ste 1000
Gonzales, LA 70737-5027

Other practice location 1

7566 Picardy Ave
Baton Rouge, LA 70808-4333
Phone (225) 765-5500

Other practice location 2

8080 Bluebonnet Blvd Ste 1000
Baton Rouge, LA 70810-7827
Phone (225) 924-2424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241022005198 LA Practitioner - Physician Assistant 9830622331 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1014 Saint Clair Blvd
Suite 1000
Gonzales, LA 70737-5027
Phone (225) 215-4417

7301 Hennessy Blvd
Suite 102
Baton Rouge, LA 70808-4793
Phone (225) 767-5004

8080 Bluebonnet Blvd
Baton Rouge, LA 70810-7827

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
344080LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge Orthopaedic Clinic CurrentSince Nov 1, 2024 Accepting new patients
Baton Rouge Orthopaedic Clinic, LLC CurrentSince Nov 1, 2024 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Jan 1, 2026 Accepting new patients
Our Lady of the Lake Physician Group LLC Physician Assistant Past Accepting new patients

Locations

8080 Bluebonnet Blvd
Ste 1000
Baton Rouge, LA 70810
Phone (225) 408-6633

7566 Picardy Ave
Baton Rouge, LA 70808
Phone (225) 767-3115

1014 Saint Clair Blvd
Ste 1000
Gonzales, LA 70737
Phone (225) 215-4417

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1487471132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 SAINT CLAIR BLVD STE 1000",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707375027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 WEST ST. CLARE BLVD",
            "address_2": "STE. 1000",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "70737",
            "telephone_number": "225-215-4417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7566 Picardy Ave",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708084333",
            "country_code": "US",
            "telephone_number": "225-765-5500",
            "fax_number": "225-256-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8080 Bluebonnet Blvd Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708107827",
            "country_code": "US",
            "telephone_number": "225-924-2424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "REESE",
        "middle_name": "SY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-24",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "344080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

Verify at the official NPI Registry.