Individual provider Active NPI

Frederick Paul Schwaibold, DO

  • Radiation Oncology Physician
  • Atlanta, GA
National Provider Identifier
1700831849
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
034240 Issued in GA
Practice address
1968 Peachtree Rd NW
Dept of Radiation Oncology
Atlanta, GA 30309-1281
Phone
(404) 605-4227
Fax
(404) 605-1702
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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 034240 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) 605-4227

Other identifiers 1

IdentifierTypeStateIssuer
005128280MedicaidGA

Other names 1

  • Frederick Paul Schwaibold Other name

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
I20101207000792 GA Practitioner - Radiation Oncology 0749289569 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Radiation Oncology Services PC Radiation Oncology CurrentSince Apr 7, 2015 Accepting new patients

Locations

NW
1968 Peachtree Rd
Atlanta, GA 30309
Phone (404) 605-3319

1968 Peachtree Rd NW
#D
Atlanta, GA 30309
Phone (404) 605-3319

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

1267 Highway 54 W
Ste 1500
Fayetteville, GA 30214
Phone (770) 719-5850

1255 Highway 54 W
Bldg 1267
Fayetteville, GA 30214
Phone (770) 719-5850

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1700831849",
    "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": "404-605-4227",
            "fax_number": "404-605-1702"
        },
        {
            "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": "404-605-4227",
            "fax_number": "404-605-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWAIBOLD",
        "first_name": "FREDERICK",
        "middle_name": "PAUL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "034240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005128280",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FREDERICK",
            "last_name": "SCHWAIBOLD",
            "middle_name": "PAUL",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.