NPIMap

Organization Active NPI

Greensboro Radiation Oncologists PA

Doing business as Piedmont Radiation Oncologists, PA

  • Radiation Oncology Physician
  • Greensboro, NC
National Provider Identifier
1609828698
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
GREENSBORO RADIATION ONCOLOGISTS PA
Doing business as
Piedmont Radiation Oncologists, PA
Practice address
501 N Elam Avenue
Greensboro, NC 27403-1118
Phone
(336) 832-1100
Fax
(336) 832-0770
NPI assigned
May 17, 2006
Last updated
Dec 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Matthew A Manning, M.D.NPI 1316999857
Title
President
Phone
(336) 274-9617

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X NU Primary

Addresses

Primary practice location

501 N Elam Avenue
Greensboro, NC 27403-1118

Mailing address

200 Queens Rd Ste 400
Charlotte, NC 28204-3264
Phone (704) 765-2578

Other identifiers 1

IdentifierTypeStateIssuer
890167BMedicaidNC

Other names 1

  • PIEDMONT RADIATION ONCOLOGISTS, PA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040915000646 NC Part B Supplier - Clinic/Group Practice 4688641939 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
Practice locations: Asheboro, NC; Greensboro, NC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1319 Spero Rd
Asheboro, NC 27205
Phone (336) 626-0033

200 Queens Rd
Ste 400
Charlotte, NC 28204
Phone (704) 765-2578

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1609828698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 QUEENS RD STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043264",
            "telephone_number": "704-765-2578",
            "fax_number": "704-333-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N ELAM AVENUE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031118",
            "telephone_number": "336-832-1100",
            "fax_number": "336-832-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENSBORO RADIATION ONCOLOGISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-274-9617",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890167B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIEDMONT RADIATION ONCOLOGISTS, PA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PIEDMONT RADIATION ONCOLOGISTS, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.