Individual provider Active NPI

Robert T. Zabenko, DO

  • General Practice Physician
  • Richmond Hill, GA
National Provider Identifier
1700992633
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
057864 Issued in GA
Practice address
135 Hermitage Dr
Richmond Hill, GA 31324-3834
Phone
(706) 399-7621
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 057864 GA
Obstetrics & Gynecology Physician 207V00000X 9800166 NC
Obstetrics & Gynecology Physician 207V00000X C2-0010200 DE
General Practice Physician 208D00000X 057864 GA Primary

Addresses

Primary practice location

135 Hermitage Dr
Richmond Hill, GA 31324-3834

Mailing address

135 Hermitage Dr
Richmond Hill, GA 31324-3834
Phone (706) 399-7621

Other practice location 1

250 Memorial Dr
Jacksonville, NC 28546-6332
Phone (910) 353-2115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
C2-0010200DEMDObstetrics & Gynecology Physician
057864GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buglisi Eye Care, PLLC CurrentSince Dec 23, 2014 Accepting new patients

Locations

250 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-2115

Interoperability endpoints

  • Direct secure messaging: robert.zabenko@202362935902212.direct.elationemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1700992633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 HERMITAGE DR",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243834",
            "telephone_number": "706-399-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 HERMITAGE DR",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243834",
            "telephone_number": "706-399-7621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285466332",
            "country_code": "US",
            "telephone_number": "910-353-2115",
            "fax_number": "910-355-2422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZABENKO",
        "first_name": "ROBERT",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "057864",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "9800166",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DE",
            "license": "C2-0010200",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "057864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, GA

Sources for this page

Verify at the official NPI Registry.