Individual provider Active NPI

Robert Joseph Irwin III, PA-C

  • Physician Assistant
  • Zachary, LA
National Provider Identifier
1801414495
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
323813 Issued in LA
Practice address
20474 Old Scenic Hwy
Zachary, LA 70791-7365
Phone
(225) 654-1124
Fax
(225) 654-7079
NPI assigned
Jul 9, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X
Surgical Physician Assistant 363AS0400X
Physician Assistant 363A00000X 323813 LA Primary

Addresses

Primary practice location

20474 Old Scenic Hwy
Zachary, LA 70791-7365

Mailing address

8230 Summa Ave Ste C
Baton Rouge, LA 70809-3465
Phone (225) 757-0552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20201105000801 LA Practitioner - Physician Assistant 7113337957 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Laurie H. Harrington, M.D,,LLCGroup PAC ID 1153587589, 6 clinicians

Practice addresses (Care Compare)

20474 Old Scenic Hwy
Zachary, LA 70791-7365
Phone (225) 654-1124

3140 Florida Blvd
Baton Rouge, LA 70806

3140 Florida Blvd
Baton Rouge, LA 70806-3757

3140 Florida St
Baton Rouge, LA 70806-3757
Phone (225) 650-2000

4852 Zachary Slaughter Hwy
Zachary, LA 70791-3530
Phone (225) 654-7000

59340 River W Dr
Ab
Plaquemine, LA 70764-6553
Phone (225) 385-4742

PO Box
Suite 1160
Zachary, LA 70791-1160

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jan 1, 2023 Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 1, 2023 Accepting new patients
Capitol City Family Health Center, Incorporated CurrentSince Jan 1, 2025 Accepting new patients
Capitol City Family Health Center Incorporated CurrentSince Jan 1, 2025 Accepting new patients
Capitol City Family Health Center Incorporated Single Specialty Current Accepting new patients
Administrators of the Tulane Educational Fund Single Specialty PastSince Jul 12, 2020 Accepting new patients
Advanced Dermatology, P.C. Single Specialty Past Accepting new patients

Locations

3140 Florida St
Baton Rouge, LA 70806
Phone (225) 650-2000

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Organizations & group practices 11

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": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1801414495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 SUMMA AVE STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093465",
            "telephone_number": "225-757-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20474 OLD SCENIC HWY",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917365",
            "telephone_number": "225-654-1124",
            "fax_number": "225-654-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_suffix": "III",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-09",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "323813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

Verify at the official NPI Registry.