NPIMap

Organization Active NPI

Robert B. Rhoades MD, PC

  • Allergy Physician
  • Martinez, GA
National Provider Identifier
1962471516
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
13420 Issued in GA
Legal business name
ROBERT B. RHOADES MD, PC
Practice address
4485 Columbia Rd
Martinez, GA 30907-4255
Phone
(706) 855-1520
Fax
(706) 860-4250
NPI assigned
Mar 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Dr. Robert B Rhoades, M.D
Title
Dr
Phone
(706) 855-1520

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207KA0200X 13420 GA Primary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X 18599 GA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 13420 GA

Addresses

Primary practice location

4485 Columbia Rd
Martinez, GA 30907-4255

Mailing address

4485 Columbia Rd
Martinez, GA 30907-4255
Phone (706) 855-1520

Other names 1

  • AUGUSTA ALLERGY AND DERMATOLOGY Other name

National Provider Directory

National Provider Directory

Locations

4485 Columbia Rd
Martinez, GA 30907
Phone (706) 855-1520

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1962471516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 COLUMBIA RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309074255",
            "telephone_number": "706-855-1520",
            "fax_number": "706-860-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 COLUMBIA RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309074255",
            "telephone_number": "706-855-1520",
            "fax_number": "706-860-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B. RHOADES MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "RHOADES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "706-855-1520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "GA",
            "license": "13420",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "GA",
            "license": "18599",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "13420",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AUGUSTA ALLERGY AND DERMATOLOGY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Martinez, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.