Look up the most recent NPI and PECOS records

Robyn F. Fallaw

Family Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as ROBYN FALLAW.

Based on the most recent information from CMS, provider Robyn F. Fallaw is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1477676468
Provider Type
Individual
Full Name
Fallaw, Robyn F.
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
4/6/2007
Last Updated
3/21/2024

Contact Information

Practice Location

131 Rinehart Way, Aiken, SC 29803-1703

(803) 335-2200

(803) 649-7966

Mailing Location

PO Box 2510, Evans, GA 30809-2510

(706) 922-8251

(706) 922-6695

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 32137 South Carolina
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License 062984 Georgia

Provider Identifiers

ID	Description	Issuer
ID 32137	Description Other	Issuer SC LICENSE NUMBER South Carolina
ID 321379	Description Medicaid	Issuer Unlisted South Carolina
ID 32137	Description Other	Issuer LICENSE South Carolina
ID 816999526A	Description Medicaid	Issuer Unlisted Georgia

Robyn F. Fallaw

PECOS Enrollment

Profile Details

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