DR. ROBERT MITCHELL ERMENTROUT (M.D.) – Diagnostic Radiology Physician, NPI 1124345376
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,271 DIAGNOSTIC RADIOLOGY in GA
Provider Addresses for DR. ROBERT MITCHELL ERMENTROUT (M.D.)
1364 CLIFTON RD NE
SUITE AG05
ATLANTA, GA 303221059
Phone: (404) 712-7033
Fax: (404) 712-7970
Type: Mailing
172 HUNTINGTON RD NE
ATLANTA, GA 303091504
Phone: (404) 877-2707
Type: Mailing
1199 PRINCE AVE
ATHENS, GA 306062797
Phone: (706) 850-6186
Type: Location
1510 E Herndon Ave Ste 110
Fresno, CA 937203333
Phone: (559) 450-6742
Fax: (559) 450-6743
Type: Location
172 Huntington Rd NE
Atlanta, GA 303091504
Phone: (404) 877-2707
Type: Location
25500 Meadowbrook Rd Ste 115
Novi, MI 483751879
Phone: (248) 488-7950
Fax: (248) 488-7951
Type: Location
3670 HIGHLANDS PKWY SE
SMYRNA, GA 300825184
Phone: (770) 953-2600
Fax: (770) 953-2602
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $71.
Total Amount is formed as General ($71) + Research ($0) + Ownership ($0) = $71.
Last reported payment date: 2024-07-23 • Largest payer in this snapshot: CARDIVA MEDICAL, INC. ($44).
Total Amount
$71
General + Research + Ownership
Payments
4
Total payment records
General Amount
$71
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CARDIVA MEDICAL, INC. | $44 |
| Medline Industries LP | $15 |
| Meditrina | $12 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-11-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150811006104 | I | Diagnostic Radiology | GA | TBD |
| I20250520000615 | I | Diagnostic Radiology | CA | TBD |
| I20251110001018 | I | Interventional Radiology | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30322)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | GA | |
| - | GA | |
| Interventional Radiology | GA | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | SC | |
| Diagnostic Radiology | GA |
Reviews
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