DR. ROBERT WRIGHT MCKELLAR (NPI# 1578527503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578527503 |
| Entity Type | Individual |
| Full Name | DR. ROBERT WRIGHT MCKELLAR |
| Credential | M.D. |
| Practice Address |
4350 Towne Centre Dr Suite 1000 Evans GA 30809-3301 |
| Mailing Address |
1125 Troupe St P.o. Box 3845 Augusta GA 30914-3845 |
| Practice Telephone | 7068683940 |
| Mailing Telephone | 7067374575 |
| Mailing Fax Number | 7067315289 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2013-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
024709 | GA | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
024709 | GA | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
024709 | GA | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
024709 | GA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
024709 | GA | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
024709 | GA | Allopathic & Osteopathic Physicians |
| N | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
024709 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI - BROWN & RADIOLOGY | 1265540314 | 01 | |
| AMERIGROUP | 10059088 | 01 | |
| SC | G02470 | 05 | |
| GA | 00285073A | 05 | |
| GA | 00285073B | 05 | |
| GA | BLUE CROSS BLUE SHIELD | 270819 | 01 |
| GA | 00285073C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194810630 | Robert Christopher Mckellar | Social Worker | 1300 12th Street, Butner, NC 27509 | 2006-10-03 |
| Street Address |
4350 TOWNE CENTRE DR SUITE 1000 |
| City | EVANS |
| State | GA |
| Zip Code | 30809-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487618542 | Larry Joe Wells | Radiology | 4350 Towne Centre Dr, Suite 1000, Evans, GA 30809-3301 | 2006-04-14 |
| 1548759285 | Julia Julette Stephenson | Internal Medicine | 4350 Towne Centre Dr, Evans, GA 30809-3301 | 2018-05-08 |
| 1124456306 | Vcp 2 Augusta PC | Surgery | 4350 Towne Centre Dr, Ste 2000b, Evans, GA 30809-3301 | 2013-10-24 |
| 1790123206 | Mark A Benak Md PC | Surgery | 4350 Towne Centre Dr, Suite 2000, Evans, GA 30809-3301 | 2013-06-06 |
| 1811238058 | Tristate Anesthesia Services LLC | Specialist | 4350 Towne Centre Dr, Suite 2000b, Evans, GA 30809-3301 | 2013-03-13 |
| 1801133699 | Savannah River Plastic Surgery | Surgery | 4350 Towne Centre Dr, Suite 1400, Evans, GA 30809-3301 | 2013-01-14 |
| 1194079962 | Vcp Memphis, LLC | Surgery | 4350 Towne Centre Dr, Ste 2000, Evans, GA 30809-3301 | 2012-11-01 |
| 1881961522 | Julie Margaret Williams | Internal Medicine | 4350 Towne Centre Dr, Suite 2000, Evans, GA 30809-3301 | 2011-11-23 |
| 1508094673 | Chaltsy Carlton | Radiology | 4350 Towne Centre Dr, Suite 1000, Evans, GA 30809-3301 | 2009-06-29 |
| 1679709299 | Roger S. Delappe Jr. | Radiology | 4350 Towne Centre Dr, Suite 1000, Evans, GA 30809-3301 | 2009-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674060 | Dominion Behavioral Health Services LLC | Psychiatric Unit | 817 Prairie Lane, Evans, GEORGIA 30809 | 2020-03-13 |
| 1710478102 | Georgia Dental Professionals, PC | Dentist | 5131 Washington Rd, Evans, GA 30809 | 2018-05-22 |
| 1649770678 | Angel Legare | Physician Assistant | 404 Town Park Blvd Ste 101, Evans, GA 30809 | 2018-02-16 |
| 1952829541 | Felicia Evette Rhodes | Home Health Aide | 715 Jones Creek, Evans, GA 30809 | 2017-09-02 |
| 1659733582 | Patricia J. Stewart Lpc, LLC | Counselor | 465 N. Belair Rd. Ste 2d, Evans, GA 30809 | 2016-03-21 |
| 1114306727 | John Mccaskey | Family Medicine | 465 N Belair Rd Ste 1b, Evans, GA 30809 | 2015-05-28 |
| 1053702878 | Jennifer Wahl | Assistant Behavior Analyst | 1135 Waltons Pass, Evans, GA 30809 | 2015-02-16 |
| 1609298777 | Custom Pharmacy, Inc | Pharmacy | 1202 Town Park Lane, Suite 200, Evans, GA 30809 | 2014-01-09 |
| 1457797938 | Perfect Health Always On Call, LLC | Non-Pharmacy Dispensing Site | 4244 Washington Rd, Evans, GA 30809 | 2013-05-11 |
| 1417207119 | Tommy Battle | Respiratory Therapist, Registered | 101 Pond View, Evans, GA 30809 | 2012-09-11 |
| Find all providers in zip 30809 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386916849 | Remote Imaging Solutions, LLC | Radiology | 802 Sparkleberry Rd, Evans, GA 30809-4424 | 2012-01-31 |
| 1881915346 | William Thoburn Randazzo | Radiology | 4350 Towne Centre Dr Ste 1000, Evans, GA 30809-3328 | 2010-06-18 |
| 1437212644 | Christa Lynn Catalano | Radiology | 515 Mckinnes Park, Evans, GA 30809-4085 | 2006-12-18 |
| 1558700088 | Timothy Mark Adams | Radiology | 4350 Towne Centre Dr Ste 1000, Evans, GA 30809-3328 | 2013-06-18 |
| 1508094673 | Chaltsy Carlton | Radiology | 4350 Towne Centre Dr, Suite 1000, Evans, GA 30809-3301 | 2009-06-29 |
| 1679709299 | Roger S. Delappe Jr. | Radiology | 4350 Towne Centre Dr, Suite 1000, Evans, GA 30809-3301 | 2009-06-10 |
| 1780806968 | Melissa Lynn Stone | Radiology | 4350 Towne Centre Dr, Suite 1000, Evans, GA 30809-3301 | 2007-05-03 |
| 1912050899 | Joshua Ben Rafoth | Radiology | 4350 Towne Centre Dr, Suite 1000, Evans, GA 30809-3301 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650136 | Tbi Diagnostic Centers of Georgia | Radiology | 4294 Memorial Dr Ste D, Decatur, GA 30032-1226 | 2020-08-21 |
| 1912464702 | Vickie Consuella71 Bush | Radiology | 3701 Bermuda Run Dr, Valdosta, GA 31605-1059 | 2019-02-27 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1578061636 | Subspecialty Imaging, LLC | Radiology | 1495 Hickory Flat Hwy Ste 150, Canton, GA 30115-4229 | 2018-01-24 |
| 1205354693 | Zenith Radiology LLC | Radiology | 1059 Windermere Xing, Cumming, GA 30041-6104 | 2017-09-06 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| 1902346422 | Allegiance Imaging and Radiology LLC | Radiology | 900 Thornton Rd, Ste A, Lithia Springs, GA 30122-2641 | 2017-03-02 |
| 1518406743 | Flexogenix Georgia PC | Radiology | 4600 Roswell Rd Unit E210, Sandy Springs, GA 30342-3197 | 2017-02-21 |
| 1649727215 | Metro Imaging Cumming, LLC | Radiology | 4150 Deputy Bill Cantrell Memorial Road, Cumming, GA 30040 | 2016-09-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.