DR. ROBERT MITCHELL ERMENTROUT M.D.
NPI 1124345376
Radiology - Vascular & Interventional Radiology in Athens, GA

Q: What is Robert Ermentrout's NPI number?

The NPI number for Robert Ermentrout is 1124345376. It was assigned to this individual provider in the NPPES registry on April 28, 2010.

Q: What is Robert Ermentrout's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Q: When was this NPI record last updated?

The NPPES record for Robert Ermentrout was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 28, 2010PECOS EnrolledAccepts Medicare Assignment

1199 PRINCE AVE, ATHENS, GA 30606(706) 850-6186 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 8, 2026, Feb 24, 2025, Dec 30, 2024 and 1 more (4 updates tracked since 2022).

On this page

About Dr. Robert Mitchell Ermentrout M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT MITCHELL ERMENTROUT M.D. (NPI 1124345376) is an individual vascular & interventional radiology provider in Athens, Georgia, licensed in Georgia (74032) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1124345376

Entity TypeIndividualMale

Primary Taxonomy2085R0204X

Provider Legal NameDR. ROBERT MITCHELL ERMENTROUTCredential: M.D.

Location Address1199 PRINCE AVEAthens, GA 30606-2797

Mailing Address172 Huntington Rd NeAtlanta, GA 30309-1504 · (404) 877-2707

Phone(706) 850-6186

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateApril 28, 2010

Last NPPES UpdateJanuary 8, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2026

✔ NPI 1124345376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

Licenses✔ Licensed in GA · 74032✔ Licensed in CA · A118012

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License A118012 (CA), 74032 (GA)

1199 PRINCE AVE, Athens, GA 30606

Open in Google Maps ↗

Secondary Practice Locations 3

Location 11510 E Herndon Ave Ste 110Fresno, CA 93720-3333 · Phone (559) 450-6742 · Fax (559) 450-6743

Location 2172 Huntington Rd NEAtlanta, GA 30309-1504 · Phone (404) 877-2707

Location 325500 Meadowbrook Rd Ste 115Novi, MI 48375-1879 · Phone (248) 488-7950 · Fax (248) 488-7951

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert Mitchell Ermentrout M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557676186

PECOS Enrollment IDI20150811006104, I20250520000615

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary's Hospital

Acute Care Hospitals · Athens, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110006

Location1230 Baxter StreetAthens, GA 30606 · Clarke County

Emergency services Birthing friendly

Piedmont Walton Hospital

Acute Care Hospitals · Monroe, GA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number110046

Location2151 W Spring StreetMonroe, GA 30655 · Walton County

Emergency services Birthing friendly

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110074

Location1199 Prince AvenueAthens, GA 30606 · Clarke County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHASHIKANT PATIL M.D

Neurological Surgery