Active NPI
Peter William Possert, MD
- Radiation Oncology Physician
- Canton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 049864
- Practice address
- 460 Northside Cherokee Blvd Ste T10
Canton, GA 30115-8017 - Phone
- (770) 721-9000
- Fax
- (770) 721-9001
- NPI assigned
- May 19, 2006
- Last updated
- Mar 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 049864 | GA | Primary |
Addresses
Primary practice location
460 Northside Cherokee Blvd Ste T10
Canton, GA 30115-8017
Mailing address
275 Professional CT
Suite B
Riverdale, GA 30274-2531
Phone (770) 907-0554
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | PPossert@northsideradiationoncology.direct.varian.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- University of Cincinnati College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.79 of 100
- Quality
- 98.74
- Improvement activities
- 40
- Cost
- 83.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049864 | GA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Professional Services LLC | Radiation Oncology | Current | Accepting new patients |
| Northside Hospital, Inc. | Past | Accepting new patients | |
| Henry Radiation Oncology Center, LLC | Radiation Oncology | Past | Accepting new patients |
Locations
460 Northside Cherokee Blvd
Ste T10
Canton, GA 30115
Phone (770) 479-1761
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Radiation Oncology Physician
- Stockbridge, GA
- NPI 1689906505
-
dba Northside Gwinnett Joan Glancy
- Rehabilitation Hospital Unit
- Duluth, GA
- NPI 1134168016
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Cherokee
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
-
dba Northside Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1184677098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 PROFESSIONAL CT",
"address_2": "SUITE B",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302742531",
"telephone_number": "770-907-0554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 NORTHSIDE CHEROKEE BLVD STE T10",
"city": "CANTON",
"state": "GA",
"postal_code": "301158017",
"telephone_number": "770-721-9000",
"fax_number": "770-721-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POSSERT",
"first_name": "PETER",
"middle_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "GA",
"license": "049864",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "PPossert@northsideradiationoncology.direct.varian.com",
"affiliation": "N",
"endpointDescription": "direct messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "direct edge",
"address_1": "460 Northside Cherokee Blvd Ste T10",
"city": "Canton",
"state": "GA",
"country_code": "US",
"postal_code": "301158017",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.