Individual provider Active NPI

Peter William Possert, MD

  • Radiation Oncology Physician
  • Canton, GA
National Provider Identifier
1184677098
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
049864 Issued in GA
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071204000221 GA Practitioner - Radiation Oncology 3678662392 Reassigns benefits to 1 organization

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
North Atlanta Professional Services LLCGroup PAC ID 0840291944, 423 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
049864GAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlanta Professional Services LLC Radiation Oncology CurrentSince Feb 11, 2013 Accepting new patients
Northside Hospital, Inc. Past Accepting new patients
Henry Radiation Oncology Center, LLC Radiation Oncology PastSince Jul 1, 2010 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.