Individual provider Active NPI

Lashasta Robinson, DC

  • Chiropractor
  • Valdosta, GA
National Provider Identifier
1922667724
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO009758 Issued in GA
Practice address
2601 Bemiss Rd Ste Q
Valdosta, GA 31602-1450
Phone
(229) 474-4069
Fax
(229) 474-4482
NPI assigned
Jun 6, 2019
Last updated
Jun 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO009758 GA Primary

Addresses

Primary practice location

2601 Bemiss Rd Ste Q
Valdosta, GA 31602-1450

Mailing address

2601 Bemiss Rd Ste Q
Valdosta, GA 31602-1450
Phone (229) 474-4069

Other identifiers 1

IdentifierTypeStateIssuer
0OtherGAPENDING

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Drrobinson@southgachiro.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO009758GAMDChiropractor

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1922667724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 BEMISS RD STE Q",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021450",
            "telephone_number": "229-474-4069",
            "fax_number": "229-474-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 BEMISS RD STE Q",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021450",
            "telephone_number": "229-474-4069",
            "fax_number": "229-474-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "LASHASTA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO009758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Drrobinson@southgachiro.com",
            "affiliation": "N",
            "address_1": "2601 Bemiss Rd Ste Q",
            "city": "Valdosta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "316021450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.