Robert S. Buckley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9101461 Issued in FL

Practice address

1050 Old Camp Rd Ste 100
The Villages, FL 32162-1762

Phone

(844) 884-9355

Fax

(352) 674-8960

NPI assigned

Jul 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Villages Health System LLCGroup PAC ID 2163667288, 146 clinicians

Centerwell Senior Primary Care Vitality IncGroup PAC ID 4486152899, 144 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.buckley.1@8604.direct.athenahealth.com
• Direct secure messaging: rbuckley@jortho1643.srs-direct.com
• Direct secure messaging: robert.buckley.1@18324.direct.athenahealth.com

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.

• Centerwell Senior Primary Care Vitality Inc

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1730076621
  Medicare reassignment Care Compare group NPD
• The Villages Health System LLC

  dba The Villages Health

  • General Practice Physician
  • The Villages, FL
  • NPI 1699012922
  Medicare reassignment Care Compare group
• VMD Primary Providers Central Florida PLLC

  • Family Medicine Physician
  • Saint Cloud, FL
  • NPI 1134738974
  Medicare reassignment
• Centerwell Senior Primary Care Vitality Inc

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1457223406
  NPD
• Centerwell Senior Primary Care Vitality Inc

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1477425429
  NPD
• VMD Primary Providers Central Florida PLLC

  • Family Medicine Physician
  • Clermont, FL
  • NPI 1780342618
  NPD (past)

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1699774323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LAKE SUMTER LNDG",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321622699",
            "telephone_number": "352-674-8905",
            "fax_number": "352-674-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 OLD CAMP RD STE 100",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321621762",
            "telephone_number": "844-884-9355",
            "fax_number": "352-674-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "ROBERT",
        "middle_name": "S.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101461",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9101461",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ida Browning, NP
• Krystal Broy
• Lory Bruno
• Christina Bryant
• Evelyn Bryon, M.D.
• Buena Vista Dental
• Buenos Aires Dental, Inc (Lake Quality Dental, Inc)
• Darcelle Denise Burandt, LPC
• Pamela Marie Bureau, RN, CDE
• Wayne Carroll Burgess Jr., MD

• Physician Assistant in The Villages, FL
• Providers in The Villages, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.