Organization Active NPI

Wilson Radiation Oncology Associates, PA

  • Radiation Oncology Physician
  • Wilson, NC
National Provider Identifier
1073737995
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
WILSON RADIATION ONCOLOGY ASSOCIATES, PA
Practice address
1703 Medical Park Dr W
Wilson, NC 27893-2788
Phone
(252) 399-7400
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Margaret C MettsNPI 1003817412
Title
MD
Phone
(252) 399-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

1703 Medical Park Dr W
Wilson, NC 27893-2788

Mailing address

PO Box 63224
Charlotte, NC 28263-3224
Phone (770) 693-2622

Other identifiers 1

IdentifierTypeStateIssuer
89138K5MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050725000462 NC Part B Supplier - Clinic/Group Practice 9234166984 Receives reassigned benefits from 1 practitioner
Practice locations: Wilson, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1073737995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63224",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633224",
            "telephone_number": "770-693-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 MEDICAL PARK DR W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932788",
            "telephone_number": "252-399-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON RADIATION ONCOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "METTS",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "252-399-7400"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89138K5",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.