Cancer Care Center of Henry County, LLC

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

Legal business name

CANCER CARE CENTER OF HENRY COUNTY, LLC

Practice address

1290 Kelley Dr
Paris, TN 38242-4745

Phone

(731) 644-3522

Fax

(731) 644-2806

NPI assigned

Mar 23, 2007

Last updated

Jan 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robin Cain Hardin

Title

Cfo

Phone

(731) 668-1668

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Henry County Medical Center

  • Hospitalist Physician
  • Paris, TN
  • NPI 1073765475

  Member Of

  NPD member
• West Clinic PC

  • Specialist
  • Collierville, TN
  • NPI 1023180478

  Member Of

  NPD member
• West Tennessee Healthcare Henry County

  dba Henry County Lake Haven Behavioral Health

  • Psychiatric Hospital Unit
  • Paris, TN
  • NPI 1699861005

  Member Of

  NPD member

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul D. Koerner, M.D

  • Radiation Oncology Physician
  • Paris, TN
  • NPI 1023072485
  Medicare reassignment NPD
• Matthew T. Ballo, M.D.

  • Radiation Oncology Physician
  • Memphis, TN
  • NPI 1013017094
  NPD

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1275650434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 HOSPITAL BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052079",
            "telephone_number": "731-668-1668",
            "fax_number": "731-668-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 KELLEY DR",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424745",
            "telephone_number": "731-644-3522",
            "fax_number": "731-644-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CARE CENTER OF HENRY COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "CAIN HARDIN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "731-668-1668"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3720631",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James W. Bundy, DPH., PHARMD
• Michael Burkeen
• Laura Calamia
• Campbell Therapy Center LLC
• Shani Devon Campbell, P.T.
• Carey Counseling Center, Inc.
• Elizabeth Carothers Buffington
• David Owen Carrico, OD
• Carroll County Anesthesia, P.C.
• Terry M Carter, DPH

• Radiation Oncology Clinic/Center in Paris, TN
• Providers in Paris, TN by specialty
• Radiation Oncology Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.