Blue Ridge Radiation Oncology PA

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

11136 Issued in SC

Legal business name

BLUE RIDGE RADIATION ONCOLOGY PA

Practice address

2000 E Greenville St
Anderson, SC 29621-1580

Phone

(864) 512-4600

Fax

(864) 512-4621

NPI assigned

Apr 26, 2006

Last updated

May 12, 2025By 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

William V Tomlinson, MDNPI 1265491203

Title

MD

Phone

(864) 512-4600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Tax ID family

Blue Ridge Radiation Oncology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Blue Ridge Radiation Oncology PA

  • Specialist
  • Anderson, SC
  • NPI 1427238724
  NPD tax ID

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.

• William V Tomlinson, MD

  • Radiation Oncology Physician
  • Anderson, SC
  • NPI 1265491203
  Medicare reassignment Care Compare group NPD Authorized official
• Leander Cannick III, M.D.

  • Radiation Oncology Physician
  • Anderson, SC
  • NPI 1881705671
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1508823568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282966803",
            "telephone_number": "864-512-4600",
            "fax_number": "864-512-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E GREENVILLE ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211580",
            "telephone_number": "864-512-4600",
            "fax_number": "864-512-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE RADIATION ONCOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "864-512-4600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "SC",
            "license": "11136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S296510",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Blount
• Blue Ridge Oral and Maxillofacial Surgery PA
• Blue Ridge Orthopaedic Assoc, PA
• Blue Ridge Radiation Associates, PA
• Blue Ridge Radiation Oncology PA
• Jennifer Blum, DO
• Brianna Copeland Bobo, PHARMACIST
• Amber Boggs
• Jessica L. Boggs, CRNA
• Meredith Beck Boggs, OTR/L

• Radiation Oncology Physician in Anderson, SC
• Providers in Anderson, SC by specialty
• Radiation Oncology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.