Individual provider Active NPI

Dwain Keston Emburlie Robertson, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Atlanta, GA
National Provider Identifier
1871913111
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
90418 Issued in GA
Practice address
3200 Downwood Cir NW Ste 700
Atlanta, GA 30327-5308
Phone
(404) 355-0743
Fax
(855) 590-3792
NPI assigned
Apr 25, 2014
Last updated
Jul 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X Q9896 TX
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 90418 GA Primary

Addresses

Primary practice location

3200 Downwood Cir NW Ste 700
Atlanta, GA 30327-5308

Mailing address

3200 Downwood Cir NW Ste 700
Atlanta, GA 30327-5308
Phone (404) 355-0743

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL bswsportsconcussion.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170306000060 TX Practitioner - Physical Medicine and Rehabilitation 7214242809 Reassigns benefits to 1 organization
Practice locations: Arlington, TX
I20220225001573 GA Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 7214242809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Sports Medicine
Education
Georgetown University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Orthopaedic Clinic PAGroup PAC ID 4587552963, 138 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1000 Northside Dr
Suite 1500
Atlanta, GA 30318-0300
Phone (404) 355-0743

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Sep 30, 2019 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 30, 2019 Accepting new patients
Peachtree Orthopaedic Clinic CurrentSince Jan 10, 2022 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Peachtree Orthopaedic Clinic PA CurrentSince Jan 10, 2022 Accepting new patients
Peachtree Orthopaedic Surgery Center-North, LLC PastSince May 25, 2021 Accepting new patients
Northside Imaging LLC Past Accepting new patients

Locations (25 of 26)

11800 Amber Park Dr
Ste 200
Alpharetta, GA 30009

1000 Northside Dr NW
Ste 1500
Atlanta, GA 30318
Phone (404) 350-2446

2001 Peachtree Rd NE
Ste 705
Atlanta, GA 30309

2045 Peachtree Rd NE
Ste 700
Atlanta, GA 30309
Phone (404) 327-8744

3200 Downwood Cir NW
Ste 500
Atlanta, GA 30327
Phone (404) 252-2422

3200 Downwood Cir NW
Ste 700
Atlanta, GA 30327

77 Collier Rd NW
Ste 2000
Atlanta, GA 30309
Phone (404) 242-7263

1901 Phoenix Blvd
Ste 120
College Park, GA 30349
Phone (404) 355-6548

1901 Phoenix Blvd
Ste 200
College Park, GA 30349
Phone 40435507431459

2860 Ronald Reagan Blvd
Ste 100
Cumming, GA 30041
Phone (404) 425-1500

2860 Ronald Reagan Blvd
Ste 120
Cumming, GA 30041

2860 Ronald Reagan Blvd
Ste 240
Cumming, GA 30041

2860 Ronald Reagan Blvd
Ste 300
Cumming, GA 30041
Phone (404) 325-8584

142 Prestige Ln
Ste 600
Dawsonville, GA 30534

3870 Pleasant Hill Rd
Ste 1
Duluth, GA 30096
Phone (404) 425-1100

1163 Johnson Ferry Rd
Ste 200
Marietta, GA 30068
Phone (770) 977-7777

5505 Peachtree Dunwoody Rd
Ste 590
Sandy Springs, GA 30342
Phone (404) 355-8066

5505 Peachtree Dunwoody Rd
Ste 600
Sandy Springs, GA 30342

5505 Ptree Dunwoody Rd NE
Ste 150
Sandy Springs, GA 30342
Phone (404) 847-0893

101 Smoke Hill Ln
Ste 120
Woodstock, GA 30188
Phone (404) 355-8066

3500 Gaston Ave
Dallas, TX 75246

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

3800 Gaylord Pkwy
Ste 810
Frisco, TX 75034
Phone (469) 800-7540

3800 Gaylord Pkwy
Ste 830
Frisco, TX 75034
Phone (469) 800-5720

Interoperability endpoints

  • Direct secure messaging: drobertson223292@direct.sw.org
  • Direct secure messaging: dwain.robertson.1@8474.direct.athenahealth.com

Organizations & group practices 8

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.

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": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1871913111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 DOWNWOOD CIR NW STE 700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303275308",
            "telephone_number": "404-355-0743",
            "fax_number": "855-590-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 DOWNWOOD CIR NW STE 700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303275308",
            "telephone_number": "404-355-0743",
            "fax_number": "855-590-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "DWAIN",
        "middle_name": "KESTON EMBURLIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-25",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TX",
            "license": "Q9896",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "GA",
            "license": "90418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bswsportsconcussion.com",
            "affiliation": "N",
            "address_1": "3800 Gaylord Pkwy Ste 830",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750349419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.