NPIMap

Organization Active NPI

Griffin Regional Radiation Therapy Center, Inc.

  • Radiation Oncology Physician
  • Griffin, GA
National Provider Identifier
1255376174
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
GRIFFIN REGIONAL RADIATION THERAPY CENTER, INC.
Practice address
725 S 8TH St
Griffin, GA 30224-4818
Phone
(770) 228-3737
Fax
(770) 228-9334
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nelda H Champagne
Title
Billing Supervisor
Phone
(770) 907-0554

Specialties & licenses 1

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

Addresses

Primary practice location

725 S 8TH St
Griffin, GA 30224-4818

Mailing address

725 S 8TH St
Griffin, GA 30224-4818
Phone (770) 228-3737

National Provider Directory

National Provider Directory

Locations

725 S 8th St
Griffin, GA 30224
Phone (404) 222-9411

Practitioners & affiliated clinicians

Practitioners 9

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": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255376174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244818",
            "telephone_number": "770-228-3737",
            "fax_number": "770-228-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244818",
            "telephone_number": "770-228-3737",
            "fax_number": "770-228-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIFFIN REGIONAL RADIATION THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAMPAGNE",
        "authorized_official_first_name": "NELDA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "770-907-0554"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.