Radiation Oncology of Atlanta, LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

036041 Issued in GA

Legal business name

RADIATION ONCOLOGY OF ATLANTA, LLC

Practice address

1000 Johnson Ferry Rd, NE
Northside Radiation Oncology Department
Atlanta, GA 30342-1606

Phone

(404) 851-8850

Fax

(404) 851-6010

NPI assigned

Nov 10, 2005

Last updated

Sep 22, 2015By 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

W Hamilton Williams, M.D.NPI 1407846561

Title

President

Phone

(404) 851-8850

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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.

• W. Hamilton Williams III, M.D.

  • Radiation Oncology Physician
  • Atlanta, GA
  • NPI 1407846561
  Medicare reassignment NPD Authorized official
• David A Holladay, MD

  • Radiation Oncology Physician
  • Decatur, GA
  • NPI 1972593028
  NPD (past)

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1528049087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102665",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682665",
            "telephone_number": "770-693-2622",
            "fax_number": "770-693-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FERRY RD, NE",
            "address_2": "NORTHSIDE RADIATION ONCOLOGY DEPARTMENT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421606",
            "telephone_number": "404-851-8850",
            "fax_number": "404-851-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIATION ONCOLOGY OF ATLANTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "HAMILTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-851-8850",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "036041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "559695479A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Radiation Oncology Physician in Atlanta, GA
• Providers in Atlanta, 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 Sep 22, 2015; 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.