Individual provider Active NPI

David A Cole Jr., MD

  • Radiation Oncology Physician
  • Macon, GA
National Provider Identifier
1467434423
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
36703 Issued in GA
Practice address
770 Pine St
Suite L-20
Macon, GA 31201-7517
Phone
(478) 743-3466
Fax
(478) 746-2049
NPI assigned
Nov 16, 2005
Last updated
Apr 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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 36703 GA Primary

Addresses

Primary practice location

770 Pine St
Suite L-20
Macon, GA 31201-7517

Mailing address

PO Box 2464
Indianapolis, IN 46206-2464
Phone (478) 742-2997

Other identifiers 1

IdentifierTypeStateIssuer
000572657AMedicaidGA

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
I20041104000812 GA Practitioner - Radiation Oncology 2769445444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Medical College of Georgia School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Georgia Radiation Oncology CenterGroup PAC ID 4789662412, 4 clinicians

Practice addresses (Care Compare)

114 Sutherlin Dr R
Warner Robins, GA 31088-2259
Phone (478) 287-6353

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1235

800 1St St
Suite 110
Macon, GA 31201-8300
Phone (478) 743-3466

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36703GAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Georgia Radiation Oncology Center Radiation Oncology CurrentSince Jul 1, 1993 Accepting new patients
Central Georgia MRI LLC Past Accepting new patients

Locations

770 Pine St
Ste L20
Macon, GA 31201
Phone (478) 743-3466

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

Organizations & group practices 2

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 4

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1467434423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2464",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462062464",
            "telephone_number": "478-742-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 PINE ST",
            "address_2": "SUITE L-20",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017517",
            "telephone_number": "478-743-3466",
            "fax_number": "478-746-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "36703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000572657A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.