Individual provider Active NPI

Robert D. Lolley, M.D.

  • Orthopaedic Surgery Physician
  • Dothan, AL
National Provider Identifier
1801898226
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
15325 Issued in AL
Practice address
1500 Ross Clark Cir
Dothan, AL 36301-4754
Phone
(334) 793-2663
Fax
(334) 836-2247
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 15325 AL Primary

Addresses

Primary practice location

1500 Ross Clark Cir
Dothan, AL 36301-4754

Mailing address

PO Box 729
Dothan, AL 36302-0729
Phone (334) 793-2663

Other practice location 1

801 Princeton Ave SW Ste 710
Birmingham, AL 35211-1309
Phone (205) 264-2816

Other practice location 2

5295 Preserve Pkwy Ste 260
Hoover, AL 35244-4703
Phone (205) 380-1597

Other identifiers 6

IdentifierTypeStateIssuer
000675749BMedicaidGA
515-21773OtherALBCBS OF AL- 1500 ROSS CLA
511-08299OtherALBCBS OF AL - HEALTHWEST
121890MedicaidAL
000675749AMedicaidGA
009956315MedicaidAL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701001544 AL Practitioner - Orthopedic Surgery 5092790998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of South Alabama College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

3014 Allison Bonnett Memorial Dr
Suite 144And146
Hueytown, AL 35023-2392
Phone (205) 744-9444

801 Princeton Ave SW
Pob 1 Suite 710
Birmingham, AL 35211-1310
Phone (205) 264-2816

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.07 of 100Reported as group
Quality
80.62
Promoting interoperability
100
Improvement activities
40
Cost
69.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15325ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
SBJS PC Orthopaedic Surgery CurrentSince Aug 1, 2004 Accepting new patients
Baptist Health Centers LLC CurrentSince Aug 18, 2019 Accepting new patients
Baptist Health Centers, LLC CurrentSince Aug 18, 2019 Accepting new patients
S.B.J.S. PC Orthopaedic Surgery CurrentSince Aug 1, 2004 Accepting new patients
Baptist Health Centers, LLC Current Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

801 Princeton Ave SW
Ste 710
Birmingham, AL 35211
Phone (205) 264-2816

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

1500 Ross Clark Cir
Dothan, AL 36301
Phone (334) 793-2663

5295 Preserve Pkwy
Ste 260
Hoover, AL 35244
Phone (205) 444-4858

2800 Allison Bonnett Memorial Dr
Hueytown, AL 35023
Phone (205) 744-4410

803 North St E
Talladega, AL 35160
Phone (256) 315-2252

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1801898226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363020729",
            "telephone_number": "334-793-2663",
            "fax_number": "334-836-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ROSS CLARK CIR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363014754",
            "telephone_number": "334-793-2663",
            "fax_number": "334-836-2247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Princeton Ave SW Ste 710",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352111309",
            "country_code": "US",
            "telephone_number": "205-264-2816",
            "fax_number": "205-264-2818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5295 Preserve Pkwy Ste 260",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352444703",
            "country_code": "US",
            "telephone_number": "205-380-1597",
            "fax_number": "205-380-1957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOLLEY",
        "first_name": "ROBERT",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "15325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000675749B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL- 1500 ROSS CLA",
            "identifier": "515-21773",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL - HEALTHWEST",
            "identifier": "511-08299",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121890",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000675749A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009956315",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.