Douglas Mack Robinson Jr.

Primary specialty

DriverTaxonomy code 172A00000X

License

060204330 Issued in GA

Practice address

4813 Ridge Rd # 113-624
Douglasville, GA 30134-6117

Phone

(888) 518-3113

NPI assigned

Sep 4, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• McKinley Management Services LLC

  • Transportation Network Company
  • Douglasville, GA
  • NPI 1558148759
  NPD Authorized official

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1740066018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4813 RIDGE RD # 113-624",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346117",
            "telephone_number": "888-518-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4813 RIDGE RD # 113-624",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346117",
            "telephone_number": "888-518-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "DOUGLAS",
        "middle_name": "MACK",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "GA",
            "license": "060204330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RMS Healthcheck/Know Your Labs
• RN Advocate, LLC
• Tawanna Latoya Roane-Still, LPN
• Brittany Roberts, RBT
• Felicia Roberts
• Kendra Robinson, RBT
• Shaketa Robinson, LPC
• Tonita D Robinson, CPT
• Julianna L. Rock, PHARMD
• Katrina Rodney

• Driver in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Driver in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.