Individual provider Active NPI

Samuel Perry Robinson, MD

  • Urology Physician
  • Macon, GA
National Provider Identifier
1912134131
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
72102 Issued in GA
Practice address
5400 Bowman Rd
Macon, GA 31210-8879
Phone
(478) 745-6756
NPI assigned
Jun 15, 2009
Last updated
Jun 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 72102 GA Primary

Addresses

Primary practice location

5400 Bowman Rd
Macon, GA 31210-8879

Mailing address

5400 Bowman Rd
Macon, GA 31210-8879
Phone (478) 745-6756

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150106001133 GA Practitioner - Urology 8426298712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Mercer University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Specialists of GeorgiaGroup PAC ID 1153312574, 9 clinicians

Practice addresses (Care Compare)

5400 Bowman Rd
Macon, GA 31210-8879
Phone 47874565761204

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72102GAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Specialists of Georgia Urology CurrentSince Aug 1, 2014 Accepting new patients
Gastroenterology Associates of Central Ga, LLC Past Accepting new patients

Locations

5400 Bowman Rd
Macon, GA 31210
Phone (478) 621-4501

5400 Bowman Rd
#100
Macon, GA 31210
Phone (478) 745-6576

5400 Bowman Rd
Ste 100
Macon, GA 31210
Phone (478) 745-6576

116 Tommy Stalnaker Dr
#A
Warner Robins, GA 31088
Phone (478) 742-4847

Interoperability endpoints

  • Direct secure messaging: samuel.robinson@usog.eclinicaldirectplus.com

Organizations & group practices 2

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 6

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": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1912134131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 BOWMAN RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108879",
            "telephone_number": "478-745-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BOWMAN RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108879",
            "telephone_number": "478-745-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "SAMUEL",
        "middle_name": "PERRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "72102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.