Individual provider Active NPI

Robert D Voller, MD

  • Anesthesiology Physician
  • Columbus, MS
National Provider Identifier
1902807050
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
07755 Issued in MS
Practice address
2500 5TH St N
Columbus, MS 39705-2008
Phone
(662) 327-6820
Fax
(662) 327-9388
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 07755 MS
Anesthesiology Physician 207L00000X 07755 MS Primary

Addresses

Primary practice location

2500 5TH St N
Columbus, MS 39705-2008

Mailing address

PO Box 1806
Columbus, MS 39703-1806
Phone (662) 327-6820

Other identifiers 1

IdentifierTypeStateIssuer
00116097MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20110124000075 MS Practitioner - Anesthesiology 6709798184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Nebraska College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McReynolds Anesthesia, PAGroup PAC ID 3678645595, 8 clinicians

Practice addresses (Care Compare)

640 Leigh Dr
Columbus, MS 39705-3014
Phone (662) 328-7123

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
07755MSMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Clay County Medical Corporation CurrentSince May 16, 2019 Accepting new patients
Clay County Medical Corporation Anesthesiology CurrentSince May 16, 2019 Accepting new patients
Clay County Medical Corporation Current Accepting new patients
McReynolds Anesthesia, PA CurrentSince Jan 1, 2023 Accepting new patients
Jackson Anesthesia Associates PA Anesthesiology PastSince Jul 29, 2012 Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

2520 5th St N
Columbus, MS 39705
Phone (662) 224-1000

640 Leigh Dr
Columbus, MS 39705
Phone (662) 328-7123

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

Organizations & group practices 5

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1902807050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1806",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397031806",
            "telephone_number": "662-327-6820",
            "fax_number": "662-327-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052008",
            "telephone_number": "662-327-6820",
            "fax_number": "662-327-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLER",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "07755",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MS",
            "license": "07755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116097",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.