Individual provider Active NPI

Stephen Langdon Golder, M.D.

  • Radiation Oncology Physician
  • Atlanta, GA
National Provider Identifier
1154434264
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
054147 Issued in GA
Practice address
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone
(404) 851-8000
Fax
(404) 303-3759
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD36908 TN
Radiation Oncology Physician 2085R0001X 054147 GA Primary

Addresses

Primary practice location

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606

Mailing address

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 851-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060331000137 TN Practitioner - Radiation Oncology 3678581766 Reassigns benefits to 1 organization
I20180813001473 GA Practitioner - Radiation Oncology 3678581766 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD36908TNMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology,PLLC Radiation Oncology CurrentSince Apr 1, 2014 Accepting new patients
Hamilton Physician Group Inc CurrentSince Oct 1, 2018 Accepting new patients
Hamilton Medical Center, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Tennessee Oncology PLLC CurrentSince Apr 1, 2014 Accepting new patients
Tanner Medical Group Inc CurrentSince Mar 2, 2020 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jun 10, 2019 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jun 10, 2019 Accepting new patients
Memorial Health Partners Foundation, Inc Past Accepting new patients
Porter Radiation Oncology PA Radiation Oncology Past Accepting new patients

Locations

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

165 Clinic Ave
Carrollton, GA 30117
Phone (770) 836-9824

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

4750 Battlefield Pkwy
Ringgold, GA 30736
Phone (706) 841-8050

690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646

605 Glenwood Dr
Chattanooga, TN 37404
Phone (423) 629-6077

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1154434264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FERRY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421606",
            "telephone_number": "404-851-8000",
            "fax_number": "404-303-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FERRY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421606",
            "telephone_number": "404-851-8000",
            "fax_number": "404-303-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDER",
        "first_name": "STEPHEN",
        "middle_name": "LANGDON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TN",
            "license": "MD36908",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "054147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.