Tyrone Wedell Robinson

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

5028 Seminole Cir
Lake Park, GA 31636-3206

Phone

(229) 563-8650

NPI assigned

Mar 4, 2020

Last updated

Mar 5, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1710512249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5028 SEMINOLE CIR",
            "city": "LAKE PARK",
            "state": "GA",
            "postal_code": "316363206",
            "telephone_number": "229-563-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5028 SEMINOLE CIR",
            "city": "LAKE PARK",
            "state": "GA",
            "postal_code": "316363206",
            "telephone_number": "229-563-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "TYRONE",
        "middle_name": "WEDELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tyrone.robinson2014@yahoo.com",
            "affiliation": "N",
            "address_1": "5028 Seminole Cir",
            "city": "Lake Park",
            "state": "GA",
            "country_code": "US",
            "postal_code": "316363206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dorothy B Price, RPH
• Elizabeth W Prince, PT
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• Lester James Rentz Jr., D.M.D.
• Shanna Nicole Rozier, PHARMD
• South Georgia Radiology Consultants, PC
• South Health District (Lowndes Co Board of Health - Lake Park Clinic)
• Murray Geronamo Starling
• Megan Stewart

• Contractor in Lake Park, GA
• Providers in Lake Park, GA by specialty
• Contractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.