Individual provider Active NPI

Robin S Todd, NP

  • Women's Health Nurse Practitioner
  • Brunswick, GA
National Provider Identifier
1558390104
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN-NP118522 Issued in GA
Practice address
3025 Shrine Rd Ste 190
Brunswick, GA 31520-4788
Phone
(912) 466-7250
Fax
(912) 466-7253
NPI assigned
Jul 3, 2006
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-NP118522 GA
Women's Health Nurse Practitioner 363LW0102X APRN-NP118522 GA Primary
Registered Nurse 163W00000X RN118522 GA

Addresses

Primary practice location

3025 Shrine Rd Ste 190
Brunswick, GA 31520-4788

Mailing address

3025 Shrine Rd Ste 190
Brunswick, GA 31520-4788
Phone (912) 466-7250

Other practice location 1

4103 Mulligan Cir
Blackshear, GA 31516-2918
Phone (912) 550-8790

Other practice location 2

604 Riverside Ave
Waycross, GA 31501-5323
Phone (912) 283-1875

Other identifiers 1

IdentifierTypeStateIssuer
000808728CMedicaidGA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111019000454 GA Practitioner - Nurse Practitioner 4183896061 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians

Practice addresses (Care Compare)

3025 Shrine Rd
Suite 190
Brunswick, GA 31520-4788
Phone (912) 466-7250

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP118522GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Community Health Services, Inc. CurrentSince Nov 20, 2023 Accepting new patients
Cooperative Healthcare Services Inc CurrentSince Oct 1, 2024 Accepting new patients
Coastal Community Health Services Inc CurrentSince Nov 20, 2023 Accepting new patients

Locations

100 Professional Center Dr
Brunswick, GA 31525

106 Shoppers Way
Ste 101
Brunswick, GA 31525
Phone (912) 275-8208

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

3025 Shrine Rd
Ste 190
Brunswick, GA 31520
Phone (912) 466-7250

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, 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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1558390104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD STE 190",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204788",
            "telephone_number": "912-466-7250",
            "fax_number": "912-466-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD STE 190",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204788",
            "telephone_number": "912-466-7250",
            "fax_number": "912-466-7253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4103 Mulligan Cir",
            "address_purpose": "LOCATION",
            "city": "Blackshear",
            "state": "GA",
            "postal_code": "315162918",
            "country_code": "US",
            "telephone_number": "912-550-8790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315015323",
            "country_code": "US",
            "telephone_number": "912-283-1875",
            "fax_number": "913-283-0894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TODD",
        "first_name": "ROBIN",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP118522",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "APRN-NP118522",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN118522",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000808728C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.