American Professional Associates LLC
Organization Active NPI Radiation Oncology Physician · Alpharetta, GA
NPI 1922012210 · NPPES record last updated Aug 23, 2022
Key facts
- NPI
- 1922012210
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- Legal business name
- AMERICAN PROFESSIONAL ASSOCIATES LLC
- Practice address
- 3330 Preston Ridge Rd Ste 300
Alpharetta, GA 30005-4509 - Phone
- (770) 350-0126
- Fax
- (770) 512-8937
- NPI assigned
- Jul 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Carmen Simens
- Title
- Revenue Cycle Manager
- Phone
- (770) 255-7440
Other NPIs on the same Medicare enrollment 1
Member of 1
Practitioners 21
-
Danny A Bartlett, CRNA
-
Cara Michelle Clouse, PA-C
-
Robert S Cowles III, M.D.
-
Ross Ashmore Fuller, CRNA
-
Andrea McCarthy, NP-BC
-
Wallace Scott Phillips, CRNA
-
Mark S Quinn, MD
-
Jay Blair Reeder, CRNA
-
Brittany L Schmitt, CRNA
-
Frederick Schnell Jr., M.D.
-
Harvey L Simpson III, M.D.
-
Tamara Wojciechowski, PHDC, CRNA, FAAPM
-
Michael Hall, MD
-
Leslie R. Holmes, MD
-
John Thomas Zimmermann, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070110000092 | GA | Part B Supplier - Clinic/Group Practice | 9830199157 |
Receives reassigned benefits from 20 practitioners 1 other NPI on this enrollment Practice locations: Marietta, GA; Macon, GA; Lithonia, GA; Lawrenceville, GA; Hawkinsville, GA; Greensboro, GA; Dublin, GA; East Point, GA… |
National Provider Directory
Locations
1000 Cowles Clinic Way
Ste M-100
Greensboro, GA 30642
Phone (706) 454-1624
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician |
2085R0001X | Yes | ||
| Urology Physician |
208800000X | |||
| Radiation Oncology Clinic/Center | 261QX0203X |
Addresses
Primary practice location
3330 Preston Ridge Rd Ste 300
Alpharetta, GA 30005-4509
Mailing address
PO Box 745766
Atlanta, GA 30374-5766
Phone (770) 350-0126
Other providers in Alpharetta, GA
- Regina Ingram Amell
- Amen Home Health Care LLC
- Amera Imaging (Georgia) LLC
- American Medical Testing Lab and Treatment Ctr.
- American Optical Services LLC
- Nooshin Amini
- Aslan Amirian
- Amk Horizon Senior Care LLC
- Yvette Amoa
- Susan M Amos
All providers in Alpharetta, GA · Radiation Oncology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.