Active NPI
South Atlantic Radiation Oncology, LLC
- Radiation Oncology Clinic/Center
- Supply, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Clinic/Center
- Legal business name
- SOUTH ATLANTIC RADIATION ONCOLOGY, LLC
- Practice address
- 545 Ocean Highway West
Supply, NC 28462 - Phone
- (910) 754-4716
- NPI assigned
- Apr 26, 2007
- Last updated
- Apr 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Alex Papagikos, MD
- Title
- Member
- Phone
- (910) 662-8440
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Clinic/Center | 261QX0203X | NC | Primary |
Addresses
Primary practice location
545 Ocean Highway West
Supply, NC 28462
Mailing address
PO Box 3245
Wilmington, NC 28406-0245
Phone (910) 251-1839
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019PH | Other | NC | BCBS |
| 5908919 | Medicaid | NC |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Radiation Oncology Physician
- Wilmington, NC
- NPI 1831118660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618876800000",
"number": "1467672873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3245",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284060245",
"telephone_number": "910-251-1839",
"fax_number": "910-251-8286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 OCEAN HIGHWAY WEST",
"city": "SUPPLY",
"state": "NC",
"postal_code": "28462",
"telephone_number": "910-754-4716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH ATLANTIC RADIATION ONCOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-26",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A",
"authorized_official_last_name": "PAPAGIKOS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ALEX",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "910-662-8440",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QX0203X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oncology, Radiation",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "019PH",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5908919",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Supply, NC
- Jeffrey D Seder, M.D.
- Shallotte Medical Center Inc (Holden Beach Medical Center)
- Loretta Maree Shannon, OTR/L
- Renee Elizabeth Shepherd-Smith, DPM
- Shore Fun Pediatrics
- Southern Cross Community Services, Inc (Southern Cross Mental Health Centers)
- Daniel B Spagnoli, DDS, MS, PHD
- Specialty Eye Care of the Carolinas, PC
- Kendra Spencer, LCSWA, LCASA
- Lindsey Stack
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.