Active NPI
Tor K. Robinson, PA
- Physician Assistant
- Austell, GA
National Provider Identifier
1750717310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 006951
- Practice address
- 2041 Mesa Valley Way
Suite 100
Austell, GA 30106-6828 - Phone
- (770) 944-1100
- Fax
- (770) 944-6469
- NPI assigned
- Sep 16, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 006951 | GA | Primary |
Addresses
Primary practice location
2041 Mesa Valley Way
Suite 100
Austell, GA 30106-6828
Mailing address
2041 Mesa Valley Way
Suite 100
Austell, GA 30106-6828
Phone (770) 944-1100
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006951 | GA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resurgens, LLC | Past | Accepting new patients |
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.
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1386697928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432166400000",
"number": "1750717310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 MESA VALLEY WAY",
"address_2": "SUITE 100",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301066828",
"telephone_number": "770-944-1100",
"fax_number": "770-944-6469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 MESA VALLEY WAY",
"address_2": "SUITE 100",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301066828",
"telephone_number": "770-944-1100",
"fax_number": "770-944-6469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "TOR",
"middle_name": "K.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-16",
"last_updated": "2015-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "006951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.