Individual provider Active NPI

Robin Denise Macon

  • Social Worker
  • Valdosta, GA
National Provider Identifier
1720632698
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
MSW008436 Issued in GA
Practice address
348 Enterprise Dr Ste B
Valdosta, GA 31601-5697
Phone
(229) 293-0132
NPI assigned
Jul 30, 2019
Reactivated
Oct 6, 2023
Last updated
May 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW008436 GA Primary
Clinical Social Worker 1041C0700X CSW008093 GA

Addresses

Primary practice location

348 Enterprise Dr Ste B
Valdosta, GA 31601-5697

Mailing address

348 Enterprise Dr Ste B
Valdosta, GA 31601-5697
Phone (229) 293-0132

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

State licenses

LicenseStateTypeSpecialty
MSW008436GAMDSocial Worker
CSW008093GAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1720632698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 ENTERPRISE DR STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316015697",
            "telephone_number": "229-293-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 ENTERPRISE DR STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316015697",
            "telephone_number": "229-293-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACON",
        "first_name": "ROBIN",
        "middle_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "deactivation_date": "2023-07-31",
        "reactivation_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW008436",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008093",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.