Individual provider Active NPI

Charles J. Meakin, M.D.

  • Radiation Oncology Physician
  • Gastonia, NC
National Provider Identifier
1881653855
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
9401267 Issued in NC
Practice address
2525 Court Dr
Gastonia, NC 28054-2140
Phone
(704) 834-2944
Fax
(704) 834-2857
NPI assigned
Mar 20, 2006
Last updated
Dec 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 9401267 NC Primary
Radiation Oncology Physician 2085R0001X 17846 SC

Addresses

Primary practice location

2525 Court Dr
Gastonia, NC 28054-2140

Mailing address

200 Queens Rd
Suite 400
Charlotte, NC 28204-3252
Phone (704) 333-7376

Other identifiers 8

IdentifierTypeStateIssuer
58357OtherNCBLUE CROSS
26030OtherNCPARTNERS
8958357MedicaidNC
1799959008OtherNCCIGNA
2204097HOtherNCMEDICARE PTAN
62137OtherNCMEDCOST
769478OtherNCUNITED HEALTHCARE
N01267MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20060905000461 NC Practitioner - Radiation Oncology 0648274605 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9401267NCMDRadiation Oncology Physician
7543NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Radiation Oncology Group, P.a. Radiation Oncology CurrentSince Oct 3, 1994 Accepting new patients
Radiation Oncology Centers of the Carolinas, Inc. Radiation Oncology Past Accepting new patients
Piedmont Carolinas Radiation Therapy LLC Past Accepting new patients
Piedmont Carolinas Radiation Therapy LLC Past Accepting new patients
Radiation Oncology Centers of the Carolinas, Inc. Radiation Oncology Past Accepting new patients

Locations

182 Virginia St
Boone, NC 28607
Phone (828) 262-4342

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

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

Organizations & group practices 5

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1881653855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 QUEENS RD",
            "address_2": "SUITE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043252",
            "telephone_number": "704-333-7376",
            "fax_number": "704-333-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542140",
            "telephone_number": "704-834-2944",
            "fax_number": "704-834-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAKIN",
        "first_name": "CHARLES",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "9401267",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "SC",
            "license": "17846",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "58357",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "26030",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8958357",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1799959008",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2204097H",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "62137",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "769478",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N01267",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.