CENTRAL GEORGIA RADIATION ONCOLOGY CENTER (NPI# 1083604334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083604334 |
| Entity Type | Organization |
| Organization Name | CENTRAL GEORGIA RADIATION ONCOLOGY CENTER |
| Practice Address |
800 1st St Suite 110 Macon GA 31201-8300 |
| Mailing Address |
Po Box 2464 Indianapolis IN 46206-2464 |
| Practice Telephone | 4787433466 |
| Practice Fax Number | 4787462049 |
| Mailing Telephone | 4787422997 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2015-06-23 |
| Authorized Official Name | DAVID COLE (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 4787433466 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 300025310 | 05 |
| Street Address |
800 1ST ST SUITE 110 |
| City | MACON |
| State | GA |
| Zip Code | 31201-8300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194727651 | Douglas Alan Brewer | Colon & Rectal Surgery | 800 1st St, Macon, GA 31201-8300 | 2005-08-15 |
| 1457800070 | Cayla Elizabeth Schnider | Physician Assistant | 800 1st St, Suite 410, Macon, GA 31201-8300 | 2016-09-23 |
| 1841515418 | Zachary David Lopater | Radiology | 800 1st St, Suite 110, Macon, GA 31201-8300 | 2010-04-07 |
| 1427235613 | Abeer Nitham Abouyabis | Specialist | 800 1st St, Suite 410, Macon, GA 31201-8300 | 2008-01-30 |
| 1477730091 | Digitrace Care Services Inc | Durable Medical Equipment & Medical Supplies | 800 1st St, Macon, GA 31201-8300 | 2008-01-25 |
| 1598834806 | Central Georgia Cancer Care, P.C. | Specialist | 800 1st St, Suite 410, Macon, GA 31201-8300 | 2006-11-08 |
| 1114954310 | Frederick M Schnell | Specialist | 800 1st St, Suite 410, Macon, GA 31201-8300 | 2006-06-26 |
| 1699702811 | Bruce T Burns | Specialist | 800 1st St, Suite 410, Macon, GA 31201-8300 | 2006-06-26 |
| 1124062187 | Kenneth D Deaton Jr. | Specialist | 800 1st St, Suite 410, Macon, GA 31201-8300 | 2006-06-16 |
| 1881639821 | Linda K Hendricks | Specialist | 800 1st St, Suite 410, Macon, GA 31201-8300 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| Find all providers in zip 31201 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841515418 | Zachary David Lopater | Radiology | 800 1st St, Suite 110, Macon, GA 31201-8300 | 2010-04-07 |
| 1467434423 | David A Cole Jr. | Radiology | 770 Pine St, Suite L-20, Macon, GA 31201-7517 | 2005-11-16 |
| 1760473185 | Harvey Brian Balfour | Radiology | 770 Pine St, Suite L-20, Macon, GA 31201-7517 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1962910679 | American Professional Associates LLC | Radiology | 33 Upper Riverdale Rd Sw Ste 105, Riverdale, GA 30274-2642 | 2018-01-16 |
| 1003324187 | American Professional Associates LLC | Radiology | 1136 Cleveland Ave Ste 119, East Point, GA 30344-3618 | 2018-01-11 |
| 1316387137 | Rakendu Prakash Shukla | Radiology | 148 Bill Carruth Pkwy Ste Ll30, Hiram, GA 30141-3768 | 2013-06-25 |
| 1023301082 | Jolinta Lin | Radiology | The Emory Clinic Dept of Radiation Oncology, 1365 Clifton Road, Ne, Atlanta, GA 30322-0001 | 2011-05-25 |
| 1679739825 | Charles Reginald Woods IIi | Radiology | 275 Professional Ct, Suite B, Riverdale, GA 30274-2531 | 2008-08-06 |
| 1003086216 | Coastal Radiation Oncology Assoc. | Radiology | 2500 Starling St Ste 107, Brunswick, GA 31520-4266 | 2008-03-04 |
| 1275710899 | Shannon Tucker Kahn | Radiology | 639 Kimberly Ln Ne, Atlanta, GA 30306-2224 | 2008-01-25 |
| 1295924801 | Brian Wise Weaver | Radiology | 1355 Heatherland Dr Sw, Atlanta, GA 30331-7460 | 2007-10-19 |
| 1225245798 | John W Devine, Md, PC | Radiology | 209 Pendleton Dr, Valdosta, GA 31602-1729 | 2007-05-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.