DR. CHARLES REGINALD WOODS III (NPI# 1679739825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679739825 |
| Entity Type | Individual |
| Full Name | DR. CHARLES REGINALD WOODS III |
| Credential | M.D. |
| Practice Address |
275 Professional Ct Suite B Riverdale GA 30274-2531 |
| Practice Telephone | 7709070554 |
| Practice Fax Number | 7709079048 |
| Mailing Telephone | 7709070554 |
| Mailing Fax Number | 7709079048 |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2016-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
069673 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194922971 | Charles Woods | Specialist/Technologist, Other | 4405 Santa Fe Ln, Mckinney, TX 75070-4473 | 2007-06-27 |
| 1396748786 | Charles D Woods Jr. | Ophthalmology | 1320 14th Ave Se, Decatur, AL 35601-4348 | 2005-05-31 |
| 1780229583 | Charles Lee Woods Jr. | Counselor | 4455 Ne Hwy 20, Covallis, OR 97330 | 2019-11-15 |
| 1659725489 | Charles Woods | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2016-04-18 |
| 1427467406 | Charles Brandon Woods | Pharmacist | 116 W Depot St, Angier, NC 27501-6696 | 2014-08-04 |
| 1043323942 | Charles A Woods | Pediatrics | 525 Tunxis Hill Cut Off, Fairfield, CT 06825-4447 | 2006-08-16 |
| 1588691760 | Charles Ira Woods IIi | Otolaryngology | 750 E Adams St, Syracuse, NY 13210-2306 | 2006-06-26 |
| 1982688065 | Charles Reece Woods Jr. | Pediatrics | 910 Blackford St, Chattanooga, TN 37403-1405 | 2005-12-02 |
| Street Address |
275 PROFESSIONAL CT SUITE B |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30274-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
| 1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
| 1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
| 1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
| 1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
| 1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
| 1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
| 1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
| Find all providers in zip 30274 | ||||
| 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 |
|---|---|---|---|---|
| 1962910679 | American Professional Associates LLC | Radiology | 33 Upper Riverdale Rd Sw Ste 105, Riverdale, GA 30274-2642 | 2018-01-16 |
| 1649261926 | John Harold Giesler | Radiology | 255 Professional Ct, Riverdale, GA 30274-2531 | 2005-11-04 |
| 1619398229 | Southern Crescent Radiation Oncology Center LLC | Radiology | 255 Professional Ct, Riverdale, GA 30274-2531 | 2013-12-27 |
| 1104871326 | J. Warner Ray | Radiology | 255 Professional Ct, Riverdale, GA 30274-2531 | 2006-05-24 |
| 1093769945 | Institute for Radiation Therapy,inc. | Radiology | 255 Professional Ct, Riverdale, GA 30274-2531 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 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 |
| 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 |
| 1356475131 | Winburn Jackson Dickens | Radiology | 152 Monroe Hwy, Winder, GA 30680-0664 | 2007-03-15 |
| 1578613667 | Lorie L Hughes | Radiology | 320 Kennestone Hospital Blvd Ste Ll1, Marietta, GA 30060-1166 | 2007-01-11 |
| Find all providers with the same taxonomy | ||||
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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.