Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346207610 Individual Practitioner Male Practitioner

Robert Niewoonder , PA-C

Physician Assistant • Moody Afb, GA

Professional Overview & Biography Verified Profile Summary

Robert Niewoonder, PA-C is a registered healthcare professional specializing in Physician Assistant in Moody Afb, GA. Practice services are available at 3278 MITCHELL BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3278 Mitchell Blvd

Moody Afb, GA 316991500

Telephone 2292923719
Associated Practice Facility / Clinic
🏢 23d Medgrp-Moody Facility NPI 1316907744

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Moody Afb, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.3 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
17 Specialists

Practicing in Moody Afb, GA (4726 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-03-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003266073

Doctor of Osteopathic Medicine (D.O.)

Dr. Adam Fry , PT DPT

Physical Therapist

NPI 1013105394

PTDPT

NPI 1013255033

Doctor of Pharmacy (Pharm.D.)

Dr. Konstantine Dietrich , DDS

Dentist - General Practice

NPI 1023479888

Doctor of Dental Surgery

NPI 1023678406

Doctor of Osteopathic Medicine (D.O.)

Jerel Merida

Physician Assistant

NPI 1023807914

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location March 30, 2020

Registered at 3278 MITCHELL BLVD, MOODY AFB, GA 316991500 (Tel: 2292923719)

📍
Updated Business Mailing Address March 30, 2020

Registered at 3278 MITCHELL BLVD, MOODY AFB, GA 316991500 (Tel: 2292572778)

📍
Updated Practice Location June 13, 2018

Registered at 35 SGC/SGCU, UNIT 5024 BLDG 99, APO, AP 963195027 (Tel: 3152266750)

📍
Updated Business Mailing Address June 13, 2018

Registered at 35 SGC/SGCU, UNIT 5024 BLDG 99, APO, AP 963195027

NPI Profile Active April 23, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 23, 2009

Registered at 208 W CASABLANCA AVE, BLDG 1400, 27 SOMDG, CANNON AFB, NM 881035014 (Tel: 5757847801)

📍
Updated Business Mailing Address April 23, 2009

Registered at 1760 NORMANDY LOOP APT A, CLOVIS, NM 881018139

👤
Provider Name / Credentials Updated April 23, 2009

Recorded as ROBERT NIEWOONDER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2009

Physician Assistant

🟢
Initial NPI Registration & Enumeration April 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346207610
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 28, 2006
Last Update: March 30, 2020
Sole Proprietor: No

Mailing Address

3278 Mitchell Blvd

Moody Afb, GA 316991500

Phone: 2292572778

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.