COLUMBUS CANCER TREATMENT CENTER, LLC (NPI# 1457583452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457583452 |
| Entity Type | Organization |
| Organization Name | COLUMBUS CANCER TREATMENT CENTER, LLC |
| Practice Address |
2121 Warm Springs Rd Suite B Columbus GA 31904-7955 |
| Mailing Address |
104 Woodmont Blvd 500 Nashville TN 37205-2245 |
| Practice Telephone | 7066608121 |
| Practice Fax Number | 7063234205 |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2009-08-10 |
| Authorized Official Name | MR. ROBERT RHYMER (COO OF CONTROLLING MEMBER) |
| Authorized Official Telephone | 6154677415 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
Ambulatory Health Care Facilities |
| Street Address |
2121 WARM SPRINGS RD SUITE B |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904-7955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679557375 | Shane B Darrah | Internal Medicine | 2121 Warm Springs Rd, Columbus, GA 31904-7955 | 2005-12-06 |
| 1285244137 | Sec2 | Internal Medicine | 2121 Warm Springs Rd, Columbus, GA 31904-7955 | 2020-08-05 |
| 1013572536 | Daniela Martinoli | Physician Assistant | 2121 Warm Springs Rd, Columbus, GA 31904-7955 | 2019-05-09 |
| 1437634011 | Sally Varner Watkins | Nurse Practitioner | 2121 Warm Springs Rd, Columbus, GA 31904-7955 | 2018-09-28 |
| 1316393382 | Erin Kyle Cullefer | Nurse Practitioner | 2121 Warm Springs Rd, Columbus, GA 31904-7955 | 2016-05-10 |
| 1740693696 | Travis Massengill | Internal Medicine | 2121 Warm Springs Rd, Columbus, GA 31904-7955 | 2014-06-09 |
| 1730491234 | Columbus Radiation Oncology Treatment Center LLC | Clinic/Center | 2121 Warm Springs Rd, Suite B, Columbus, GA 31904-7955 | 2010-07-13 |
| 1508029802 | Akram Wafic Ibrahim | Internal Medicine | 2121 Warm Springs Rd, Columbus, GA 31904-7955 | 2008-07-07 |
| 1669522496 | James E Vickers Jr. | Physician Assistant | 2121 Warm Springs Rd, Columbus, GA 31904-7955 | 2007-01-12 |
| 1285683755 | Hunter Clay Champion Sr. | Internal Medicine | 2121 Warm Springs Rd, Columbus, GA 31904-7955 | 2006-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1033696372 | Marlise V. Gray | Counselor | 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 | 2018-07-19 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| Find all providers in zip 31904 | ||||
| Taxonomy Code | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578658670 | Thomas Jackson Tidwell | Clinic/Center | 2121 Warm Springs Rd Ste B, Columbus, GA 31904-7954 | 2006-10-04 |
| 1730491234 | Columbus Radiation Oncology Treatment Center LLC | Clinic/Center | 2121 Warm Springs Rd, Suite B, Columbus, GA 31904-7955 | 2010-07-13 |
| 1053591966 | Columbus Radiation Oncology Associates, P.C. | Clinic/Center | 2121 Warm Springs Rd Ste B, Columbus, GA 31904-7954 | 2007-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194289082 | American Cancer Cure | Clinic/Center | 1110 W Peachtree St Nw Ste 100, Atlanta, GA 30309-3609 | 2019-01-25 |
| 1487180709 | South Georgia Center for Cancer Care, LLC | Clinic/Center | 27 Coach Lee Hill Blvd., Statesboro, GA 30458-4764 | 2017-05-05 |
| 1083107999 | Georgia Protoncare Center, Inc. | Clinic/Center | 615 Peachtree St Ne, Atlanta, GA 30308-2309 | 2018-06-14 |
| 1013468669 | Aoa Amc, LLC | Clinic/Center | 320 Parkway Dr Ne, Atlanta, GA 30312-1213 | 2016-10-19 |
| 1043512189 | E Plus Statesboro Cancer Care, LLC | Clinic/Center | 27 Lester Rd, Statesboro, GA 30458-4764 | 2010-11-22 |
| 1114235975 | Radiotherapy Cancer Centers LLC - Cherokee | Clinic/Center | 1200 Oakside Dr, Canton, GA 30114-2430 | 2010-09-15 |
| 1891003653 | Rcog Cancer Center LLC - Newton | Clinic/Center | 7174 Wheat St Ne, Covington, GA 30014-1596 | 2010-09-15 |
| 1104134972 | Rcog Cancer Centers LLC - Snellville | Clinic/Center | 2094 Mcgee Rd, Snellville, GA 30078-2911 | 2010-09-15 |
| 1043528813 | Rcog Cancer Centers LLC - Gwinnett | Clinic/Center | 311 Philip Blvd, Lawrenceville, GA 30046-8733 | 2010-09-15 |
| 1336457100 | Rcog Cancer Centers LLC - North Ga | Clinic/Center | 1055 Haw Creek Pkwy, Cumming, GA 30041-6564 | 2010-09-15 |
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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.