Individual provider Active NPI

Antony Joseph Charles, MD

  • Hematology & Oncology Physician
  • Gainesville, GA
National Provider Identifier
1467435222
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
88152 Issued in GA
Practice address
1485 Jesse Jewell Pkwy NE Ste 330
Gainesville, GA 30501-3801
Phone
(470) 228-7700
Fax
(770) 297-5023
NPI assigned
Nov 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME92983 FL
Hematology & Oncology Physician 207RH0003X 43408 TN
Hematology & Oncology Physician 207RH0003X 88152 GA Primary

Addresses

Primary practice location

1485 Jesse Jewell Pkwy NE Ste 330
Gainesville, GA 30501-3801

Mailing address

1485 Jesse Jewell Pkwy NE Ste 330
Gainesville, GA 30501-3801
Phone (470) 228-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080503000056 TN Practitioner - Medical Oncology 9830161322 Reassigns benefits to 2 organizations
I20210924000000 GA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 9830161322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Georgia Diagnostic Associates and Clinic, LLCGroup PAC ID 1951655737, 81 clinicians

Practice addresses (Care Compare)

1485 Jesse Jewell Pkwy SE
Suite 330
Gainesville, GA 30501-3801
Phone (770) 536-9864

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.26 of 100Reported as group
Quality
71.9
Promoting interoperability
75
Improvement activities
40
Cost
76.47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince May 1, 2015 Accepting new patients
University Health System, Inc Current Accepting new patients
Northeast Georgia Diagnostic Associates and Clinic, LLC CurrentSince Sep 1, 2021 Accepting new patients
University Health System, Inc CurrentSince May 1, 2015 Accepting new patients
Thompson Oncology Group Hematology & Oncology CurrentSince Jul 1, 2008 Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients
Northeast Georgia Diagnostic Clinic LLC Past Accepting new patients

Locations

1250 Jesse Jewell Pkwy SE
Ste 400
Gainesville, GA 30501
Phone (470) 228-7507

1240 Jesse Jewell Pkwy SE
Ste 500
Gainesville, GA 30501

1240 Jesse Jewell Pkwy SE
Ste 600
Gainesville, GA 30501
Phone (770) 287-0031

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

1915 White Ave
Knoxville, TN 37916
Phone (423) 977-1065

Dept 888078
Knoxville, TN 37995

Knoxville, TN 37995

1926 Alcoa Hwy
Ste 410
Knoxville, TN 37920
Phone (865) 305-5622

Interoperability endpoints

  • Direct secure messaging: antonycharles@negaidx.allscriptsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1467435222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 JESSE JEWELL PKWY NE STE 330",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013801",
            "telephone_number": "470-228-7700",
            "fax_number": "770-297-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 JESSE JEWELL PKWY NE STE 330",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013801",
            "telephone_number": "470-228-7700",
            "fax_number": "770-297-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "ANTONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME92983",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TN",
            "license": "43408",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "88152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.