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NPI 1417363482
● Active Type 2 · Organization
Subpart
78th Medgrp-Robins
Military/U.S. Coast Guard Pharmacy · Robins Afb, GA · NPI 1417363482
·
Enumerated 2014 · 11 years on NPI
78th Medgrp-Robins is 1 of 21 military/u.s. coast guard pharmacy organizations in Georgia.
NPI age
11 years
Enumerated 2014-07-10
Primary specialty
Military/U.S. Coast Guard Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Morales
Chief Dha Pass
Last NPPES update
2025-05-30
Source: monthly bulk 2026-05
How this organization compares
Across 21 active military/u.s. coast guard pharmacy providers in Georgia.
NPI age
11 years
≈ at median (11 yr)
Practice locations
1
0 secondary on file
NPI lifetime · 2014 → 2026
2014-07 Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
655 7th St Bldg 700
Robins Afb, GA 310982227
📞 4783278023 fax 4783278170
Mailing address
Robins Air Force Base 78th Medical Group C/o William Sa, 655 7th St.
Robins Afb, GA 310982227
📞 4783278023 fax 4783278170
Authorized official
Hector Morales
Chief Dha Pass
📞 2105366650
Individual providers at this organization
19 individual providers on file at this primary practice address.
Tansel Acar , DDS
Dentist
NPI 1629063961
Isaac Akins , DNP, PMHNP
Nurse Practitioner
NPI 1962078337
Philip Bascom , LCSW
Social Worker
NPI 1831183623
Monique Battle-Stallworth
Nurse Practitioner
NPI 1619425188
Robert Desantis , IDMT
Military Health Care Provider
NPI 1184221244
Michael Frayser , D.O.
Family Medicine
NPI 1831155233
Matthew Gagnon , M.D.
Family Medicine
NPI 1477808012
Kelsey Galeano , PHARM.D.
Pharmacist
NPI 1821693730
Ian Hamilton
Nurse Practitioner
NPI 1922587666
Dawn Hardwick , LCSW
Social Worker
NPI 1669832713
Ethan Irvin , PHYSICIAN ASSISTANT
Physician Assistant
NPI 1538834619
Stephanie King , OD
Optometrist
NPI 1023079944
Anna Klein
Physician Assistant
NPI 1881390862
Aurianna Lively , LCSW
Social Worker
NPI 1396273926
Delvida Long , PH.D.
Psychologist
NPI 1871543736
Joanna McPherson , DDS
Dentist
NPI 1780666297
Andrea Russo , PA
Physician Assistant
NPI 1043082183
Keith Schlechte , M.D.
Family Medicine
NPI 1750348207
Brittany White
Preventive Medicine
NPI 1104206366
Specialties
Military/U.S. Coast Guard Pharmacy
Primary
A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a...
taxonomy 332000000X
Identifiers
Type Value Notes
01
2146771
PK
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
19 individual providers on file at this primary address.
Subpart of 78th Medgrp-Robins .
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.