Individual provider Active NPI

Robert Blake Lonis, PA

  • Physician Assistant
  • Marietta, GA
National Provider Identifier
1851289052
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
300 Tower Rd NE Ste 200
Marietta, GA 30060-9403
Phone
(770) 427-5717
NPI assigned
Jun 25, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X GA Primary

Addresses

Primary practice location

300 Tower Rd NE Ste 200
Marietta, GA 30060-9403

Mailing address

300 Tower Rd NE Ste 200
Marietta, GA 30060-9403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20250904000459 GA Practitioner - Physician Assistant 3779085386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

100 Greystone Power Blvd
Dallas, GA 30157-0908
Phone (678) 453-5717

1121 Johnson Ferry Rd
Suite 200
Marietta, GA 30068-5425
Phone (770) 579-8558

1505 Stone Bridge Pkwy
Suite 200
Woodstock, GA 30189-8255

300 Tower Rd
Suite 200
Marietta, GA 30060-9403

300 Tower Rd NE
Suite 200
Marietta, GA 30060-9403
Phone (770) 427-5717

5513 Chamblee Dunwoody Rd
Suite 430
Dunwoody, GA 30338-4106
Phone (770) 551-9633

720 Transit Ave
Suite 202
Canton, GA 30114-2544
Phone (770) 345-5717

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Orthopaedics & Sports Medicine Specialists LLC CurrentSince Aug 4, 2025 Accepting new patients
Pinnacle Orthopaedics & Sports Medicine Specialists LLC CurrentSince Aug 4, 2025 Accepting new patients
Pinnacle Orthopaedics & Sports Medicine Specialists LLC Past Accepting new patients

Locations

100 Greystone Power Blvd
Dallas, GA 30157
Phone (678) 453-5717

144 Bill Carruth Pkwy
Ste 4700
Hiram, GA 30141
Phone (678) 453-5717

300 Tower Rd NE
Ste 100
Marietta, GA 30060
Phone (770) 499-9118

300 Tower Rd NE
Ste 101
Marietta, GA 30060
Phone (770) 218-0219

300 Tower Rd NE
Ste 200
Marietta, GA 30060
Phone (770) 427-5717

Organizations & group practices 3

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 1

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": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1851289052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TOWER RD NE STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TOWER RD NE STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609403",
            "telephone_number": "770-427-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONIS",
        "first_name": "ROBERT",
        "middle_name": "BLAKE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.