Wellstar Cobb Hospital Cancer Center LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

WELLSTAR COBB HOSPITAL CANCER CENTER LLC

Practice address

1800 Hospital South Dr
Austell, GA 30106-8114

Phone

(770) 948-6000

Fax

(770) 948-2638

NPI assigned

Dec 27, 2013

Organization subpart

No

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

Authorized official

Name

Nelda Champagne

Title

Supervisor Patient Financial Ser

Phone

(770) 907-0554

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388102400000",
    "number": "1366863979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOSPITAL SOUTH DR",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301068114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOSPITAL SOUTH DR",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301068114",
            "telephone_number": "770-948-6000",
            "fax_number": "770-948-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTAR COBB HOSPITAL CANCER CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-27",
        "last_updated": "2013-12-27",
        "status": "A",
        "authorized_official_last_name": "CHAMPAGNE",
        "authorized_official_first_name": "NELDA",
        "authorized_official_title_or_position": "SUPERVISOR PATIENT FINANCIAL SER",
        "authorized_official_telephone_number": "770-907-0554"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Well Woman LLC
• Wellcare of North Georgia Inc
• Wellstar Atlanta General Surgery, LLC
• Wellstar Cardiovascular Medicine, LLC
• Wellstar Cobb Family Medicine, LLC
• Wellstar Cobb Hospitalists, LLC
• Wellstar Cobb Medical Group, LLC
• Wellstar Cobb Rehabilitation Medicine, LLC
• Wellstar Cobb Surgical Associates, LLC
• Wellstar Community Hospice, LLC (WellStar Community Hospice)

• Radiation Oncology Physician in Austell, GA
• Providers in Austell, GA by specialty
• Radiation Oncology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; 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.