Individual provider Active NPI

Lauren V Robinson, PA-C

  • Surgical Physician Assistant
  • Vestavia HLS, AL
National Provider Identifier
1780245928
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA.1498 Issued in AL
Practice address
1940 Stonegate Dr Ste 130
Vestavia HLS, AL 35242-2541
Phone
(205) 977-9876
NPI assigned
Jun 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA.1498 AL Primary

Addresses

Primary practice location

1940 Stonegate Dr Ste 130
Vestavia HLS, AL 35242-2541

Mailing address

1940 Stonegate Dr Ste 130
Vestavia HLS, AL 35242-2541
Phone (205) 977-9876

Other identifiers 1

IdentifierTypeStateIssuer
PA.1498OtherALPA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190805002771 AL Practitioner - Physician Assistant 8426385022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pure Dermatology and Aesthetics, PCGroup PAC ID 5092966747, 3 clinicians

Practice addresses (Care Compare)

5346 Stadium Trace Pkwy
Suite 100
Hoover, AL 35244-4583
Phone (205) 682-8022

Merit-based Incentive Payment System (MIPS)

Final score
99.3 of 100Reported as group
Quality
98.6
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cutaneous Oncology & Surgery Center, LLC Past Accepting new patients

Organizations & group practices 2

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": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1780245928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 STONEGATE DR STE 130",
            "city": "VESTAVIA HLS",
            "state": "AL",
            "postal_code": "352422541",
            "telephone_number": "205-977-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 STONEGATE DR STE 130",
            "city": "VESTAVIA HLS",
            "state": "AL",
            "postal_code": "352422541",
            "telephone_number": "205-977-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "LAUREN",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA.1498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "PA.1498",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia HLS, AL

Sources for this page

Verify at the official NPI Registry.