DR. THOMAS WILSON PHILLIPS (NPI# 1487655528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487655528 |
| Entity Type | Individual |
| Full Name | DR. THOMAS WILSON PHILLIPS |
| Credential | MD. |
| Practice Address |
20 Glenlake Pkwy Radiation Oncology Atlanta GA 30328 |
| Mailing Address |
3495 Piedmont Road, Ne Nine Piedmont Center Atlanta GA 30305 |
| Practice Telephone | 4043650966 |
| Practice Fax Number | 4048516010 |
| Mailing Telephone | 4043647070 |
| Mailing Fax Number | 7706936039 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2013-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
0012112 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00144559H | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669770079 | Thomas Spencer George Phillips | Counselor | 325 E Pioneer Ste 3, Puyallup, WA 98372-3265 | 2011-03-09 |
| 1861553836 | Thomas Phillips | Specialist | 97 S 4th St, Ste D, Ishpeming, MI 49849-2168 | 2006-12-13 |
| 1063503654 | Thomas R. Phillips | Psychologist | 2734 N Hills Dr Ne, Atlanta, GA 30305-3421 | 2006-09-27 |
| 1275553323 | Thomas G. Phillips | Dentist | 229 Peachtree St Ne Ste 206, Atlanta, GA 30303-1600 | 2006-07-20 |
| 1114961000 | Thomas W Phillips Jr. | Anesthesiology | 101 E Wood St Dept Of, Spartanburg, SC 29303-3040 | 2006-06-15 |
| 1063465326 | Thomas A Phillips | Dentist | 2131 Beechmont Ave, Cincinnati, OH 45230-5414 | 2006-05-18 |
| 1639152333 | Thomas J Phillips | Orthopaedic Surgery | 16702 Valley View Ave, La Mirada, CA 90638-5824 | 2005-11-28 |
| 1053306431 | Thomas Samuel Phillips | Optometrist | 179 York Rd, Warminster, PA 18974-4514 | 2005-09-13 |
| 1740284124 | Thomas L Phillips | Dentist | 1436 W Pulaski St, Fort Worth, TX 76104-2716 | 2005-06-13 |
| 1548624232 | Thomas Phillips | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Road, Ohsu, Portland, OR 97239 | 2016-04-08 |
| Street Address |
20 GLENLAKE PKWY RADIATION ONCOLOGY |
| City | ATLANTA |
| State | GA |
| Zip Code | 30328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998177 | Jamie Elizabeth Coates | Pharmacist | 20 Glenlake Pkwy, Atlanta, GA 30328-3431 | 2020-06-30 |
| 1891335014 | Jenna R Van Zelfden | Nurse Practitioner | 20 Glenlake Pkwy, Atlanta, GA 30328-3473 | 2020-01-15 |
| 1346801362 | Chisom Chijioke Odogwu | Physician Assistant | 20 Glenlake Pkwy, Atlanta, GA 30328-3473 | 2019-06-21 |
| 1790269579 | Lauren Erin Holcomb | Physician Assistant | 20 Glenlake Pkwy, Atlanta, GA 30328-3473 | 2018-09-18 |
| 1528592094 | Kurtis Bertram | Podiatrist | 20 Glenlake Pkwy, Atlanta, GA 30328-3473 | 2017-04-12 |
| 1598111536 | Tiffany Casper | Advanced Practice Midwife | 20 Glenlake Pkwy, Atlanta, GA 30328 | 2016-05-09 |
| 1417343120 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 20 Glenlake Pkwy, Atlanta, GA 30328-3473 | 2015-04-09 |
| 1538419726 | James Joseph Weigel | Social Worker | 20 Glenlake Pkwy, Behavioral Health, Atlanta, GA 30328 | 2012-09-14 |
| 1053674903 | Yi-jou Tsai | Psychiatry & Neurology | 20 Glenlake Pkwy, Atlanta, GA 30328-3473 | 2012-06-15 |
| 1912264029 | Andrea Lynn Ledbetter | Physician Assistant | 20 Glenlake Pkwy, Kaiser Permanente Glenlake Dept of Gastroenterology, Atlanta, GA 30328 | 2012-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| 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 |
|---|---|---|---|---|
| 1023301082 | Jolinta Lin | Radiology | The Emory Clinic Dept of Radiation Oncology, 1365 Clifton Road, Ne, Atlanta, GA 30322-0001 | 2011-05-25 |
| 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 |
| 1043367865 | David Yu | Radiology | Emory Department of Radiation Oncology, 1365 Clifton Road, Ne, Atlanta, GA 30322-0001 | 2007-01-04 |
| 1093878787 | James H. Whitehurst | Radiology | 1100 W Peachtree St Nw Ste 100, Atlanta, GA 30309-3609 | 2006-12-18 |
| 1477597656 | Bruce Warren Hershatter | Radiology | Department of Radiation Oncology/emory University, 1320 Clifton Road, Atlanta, GA 30322 | 2006-06-16 |
| 1982658530 | Dale Lynn Mccord | Radiology | 320 Parkway Dr Ne, Atlanta, GA 30312-1213 | 2006-05-19 |
| 1528049087 | Radiation Oncology of Atlanta, LLC | Radiology | 1000 Johnson Ferry Rd, Ne, Northside Radiation Oncology Department, Atlanta, GA 30342-1606 | 2005-11-10 |
| 1568928281 | Roma, LLC | Radiology | 1110 W Peachtree St Nw Ste 100, Atlanta, GA 30309-3609 | 2019-02-19 |
| 1689053100 | Eddie Zhang | Radiology | 5665 Peachtree Dunwoody Rd, Esjh Dept of Radiation Oncology, Atlanta, GA 30342-1701 | 2015-05-29 |
| Find all providers in ATLANTA | ||||
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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.