Central Georgia Radiation Oncology Center

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

CENTRAL GEORGIA RADIATION ONCOLOGY CENTER

Practice address

800 1St St
Suite 110
Macon, GA 31201-8300

Phone

(478) 743-3466

Fax

(478) 746-2049

NPI assigned

Oct 27, 2005

Organization subpart

No

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

Authorized official

Name

David Cole, MDNPI 1467434423

Title

Authorized Official

Phone

(478) 743-3466

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

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

• David A Cole Jr., MD

  • Radiation Oncology Physician
  • Macon, GA
  • NPI 1467434423

  GA, Radiation Oncology

  Medicare reassignment Care Compare group NPD Authorized official
• Kazumi Chino, M.D.

  • Radiation Oncology Physician
  • Macon, GA
  • NPI 1053521682

  GA, Radiation Oncology

  Medicare reassignment Care Compare group NPD
• Zachary David Lopater, MD

  • Radiation Oncology Physician
  • Macon, GA
  • NPI 1841515418

  GA, Radiation Oncology

  Medicare reassignment Care Compare group NPD
• Linda Keller Wobeck, MD

  • Radiation Oncology Physician
  • Atlanta, GA
  • NPI 1689604894

  GA, Radiation Oncology

  Medicare reassignment Care Compare group NPD
• Megan L Osborne, PA-C

  • Physician Assistant
  • Macon, GA
  • NPI 1134460637

  GA

  Medicare reassignment
• Michael K. Shehata, M.D.

  • Radiation Oncology Physician
  • Cincinnati, OH
  • NPI 1003933516

  Radiation Oncology

  NPD
• Kimberley G Craddock

  • Occupational Therapist
  • Macon, GA
  • NPI 1780009092
  NPD (past)
• William S. Vancise, MD

  • Radiation Oncology Physician
  • Fremont, OH
  • NPI 1952391831

  Radiation Oncology

  NPD (past)

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1083604334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2464",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462062464",
            "telephone_number": "478-742-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 1ST ST",
            "address_2": "SUITE 110",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018300",
            "telephone_number": "478-743-3466",
            "fax_number": "478-746-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL GEORGIA RADIATION ONCOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "478-743-3466",
        "authorized_official_credential": "MD"
    },
    "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": "300025310",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Central Georgia Rehabilitation
• Central Georgia Senior Health, Inc.
• Central Georgia Vascular Solutions
• Central Georgia Women'S Health Center, LLC
• Central Georiga Fertility Institute

• All providers in Macon, GA
• Radiation Oncology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.