Active NPI
Robert Walter Oliver Jr., M.D.
- General Practice Physician
- Dublin, GA
National Provider Identifier
1649492398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 8535
- Practice address
- 1506 Telfair St
Dublin, GA 31021-3908 - Phone
- (478) 272-3446
- NPI assigned
- May 3, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 8535 | GA | Primary |
Addresses
Primary practice location
1506 Telfair St
Dublin, GA 31021-3908
Mailing address
217 Wells Cir
Dublin, GA 31021-0246
Phone (478) 272-1280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-1169232 | Other | GA | 501(C) (3) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8535 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care Systems, Inc | Past | Accepting new patients | |
| Laurens County Volunteers in Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Community Health Care Systems Administration & Specialty Services
- Federally Qualified Health Center (FQHC)
- Sandersville, GA
- NPI 1184515694
-
- Federally Qualified Health Center (FQHC)
- Dublin, GA
- NPI 1487837134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649492398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 WELLS CIR",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310210246",
"telephone_number": "478-272-1280",
"fax_number": "478-275-9378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 TELFAIR ST",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310213908",
"telephone_number": "478-272-3446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "ROBERT",
"middle_name": "WALTER",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "8535",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "501(C) (3)",
"identifier": "20-1169232",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.