Individual provider Active NPI

Linda Keller Wobeck, MD

  • Radiation Oncology Physician
  • Atlanta, GA
National Provider Identifier
1689604894
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
39628 Issued in GA
Practice address
1968 Peachtree Rd NW
Dept of Radiation Oncology
Atlanta, GA 30309-1281
Phone
(404) 605-3426
Fax
(770) 916-4434
NPI assigned
Jul 4, 2006
Last updated
Jul 31, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 39628 GA Primary

Addresses

Primary practice location

1968 Peachtree Rd NW
Dept of Radiation Oncology
Atlanta, GA 30309-1281

Mailing address

1968 Peachtree Rd NW
Dept of Radiation Oncology
Atlanta, GA 30309-1281
Phone (404) 605-3426

Other identifiers 1

IdentifierTypeStateIssuer
00937076AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101117000479 GA Practitioner - Radiation Oncology 1658370473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Emory University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Georgia Radiation Oncology CenterGroup PAC ID 4789662412, 4 clinicians

Practice addresses (Care Compare)

114 Sutherlin Dr R
Warner Robins, GA 31088-2259
Phone (478) 287-6353

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1235

800 1St St
Suite 110
Macon, GA 31201-8300
Phone (478) 743-3466

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39628GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Georgia Radiation Oncology Center Radiation Oncology CurrentSince Aug 1, 2014 Accepting new patients
Radiation Oncology of Columbus PC Radiation Oncology CurrentSince May 1, 2012 Accepting new patients
Radiology Associates of Macon PC Past Accepting new patients

Locations

1831 5th Ave
Columbus, GA 31904
Phone (706) 320-8700

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

800 1st St
Ste 110
Macon, GA 31201
Phone (478) 743-3466

114 Sutherlin Dr
Ste R
Warner Robins, GA 31088
Phone (478) 287-6353

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1689604894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 PEACHTREE RD NW",
            "address_2": "DEPT OF RADIATION ONCOLOGY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091281",
            "telephone_number": "404-605-3426",
            "fax_number": "770-916-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 PEACHTREE RD NW",
            "address_2": "DEPT OF RADIATION ONCOLOGY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091281",
            "telephone_number": "404-605-3426",
            "fax_number": "770-916-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOBECK",
        "first_name": "LINDA",
        "middle_name": "KELLER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "39628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00937076A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.