NPIMap

Individual provider Active NPI

Lonnie S Robinson, MD

  • Family Medicine Physician
  • Mountain Home, AR
National Provider Identifier
1962408435
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E1897 Issued in AR
Practice address
630 Burnett Dr
Mountain Home, AR 72653-2941
Phone
(870) 425-6971
Fax
(870) 508-8900
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E1897 AR Primary

Addresses

Primary practice location

630 Burnett Dr
Mountain Home, AR 72653-2941

Mailing address

630 Burnett Dr
Mountain Home, AR 72653-2941
Phone (870) 425-6971

Other identifiers 2

IdentifierTypeStateIssuer
080154259OtherARRAILROAD MEDICARE
136063001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051128000662 AR Practitioner - Family Practice 6002836681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regional Family Medicine, PAGroup PAC ID 5092758987, 8 clinicians

Practice addresses (Care Compare)

250 Drillers Rd
Mountain Home, AR 72653-5186
Phone (870) 492-5995

630 Burnett Dr
Mountain Home, AR 72653-2941
Phone (870) 425-6971

Hospital & facility affiliations

  • Elite Home Health Home health agency, Salem, AR, CCN 047115
  • Baxter Health Home Health Home health agency, Cotter, AR, CCN 047016
  • Baxter Health Hospital, Mountain Home, AR, CCN 040027
  • North Arkansas Regional Medical Center Hospital, Harrison, AR, CCN 040017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E1897ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Family Medicine PA Family Medicine CurrentSince Aug 17, 2009 Accepting new patients
Stuttgart Regional Medical Center Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Stuttgart Regional Medical Center Past Accepting new patients

Locations

630 Burnett Dr
Mountain Home, AR 72653
Phone (870) 425-6971

Organizations & group practices 4

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 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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1962408435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 BURNETT DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532941",
            "telephone_number": "870-425-6971",
            "fax_number": "870-508-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 BURNETT DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532941",
            "telephone_number": "870-425-6971",
            "fax_number": "870-508-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "LONNIE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E1897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080154259",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136063001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.