John Douglas Robertson, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

24023 Issued in AL

Practice address

6727 Taylor Court
Montgomery, AL 36117-7708

Phone

(334) 284-2800

Fax

(334) 284-0438

NPI assigned

Mar 23, 2006

Last updated

Dec 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

Plastic and Reconstructive Surgery

Education

University of Alabama School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Plastic Surgery Associates of Montogmery P.C.Group PAC ID 0648267971, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.robertson@direct.baptistfirst.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Plastic Surgery Associates of Montogmery P.C.

  • Specialist
  • Montgomery, AL
  • NPI 1750429668
  Medicare reassignment Care Compare group NPD
• Plastic Surgery Associates of Montgomery

  • Ambulatory Surgical Clinic/Center
  • Montgomery, AL
  • NPI 1417372749
  NPD (past)

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

• The East Alabama Health Care Authority

  dba East Alabama Medical Center

  • General Acute Care Hospital
  • Opelika, AL
  • NPI 1154386431
  Care Compare affiliation

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1841250156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6727 TAYLOR COURT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177708",
            "telephone_number": "334-284-2800",
            "fax_number": "334-284-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6727 TAYLOR COURT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177708",
            "telephone_number": "334-284-2800",
            "fax_number": "334-284-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JOHN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "24023",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AL",
            "license": "24023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051553528",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051515857",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER #",
            "identifier": "15857",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Michelle Roberts
• Lawanda J Roberts, BSW
• Nikki Roberts, LMT
• Rozetta Roberts, RN
• Celtin Robertson, MD
• Julian L Robertson, DMD
• Mary Robertson, LCSW
• Sydney H Robertson, CRNA
• Amber Robinson
• Antwala Renae Robinson

• Plastic and Reconstructive Surgery Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Plastic and Reconstructive Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.