Active NPI
Anastasios L Georgiou, M.D.
- Radiation Oncology Physician
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD024422
- Practice address
- 620 Skyline Dr
Radiation Oncology Dept
Jackson, TN 38301-3923 - Phone
- (731) 541-6250
- Fax
- (731) 541-6858
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD024422 | TN | Primary |
Addresses
Primary practice location
620 Skyline Dr
Radiation Oncology Dept
Jackson, TN 38301-3923
Mailing address
1804 Highway 45 Byp
Suite 607
Jackson, TN 38305-4436
Phone (731) 668-5335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3073988 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111128000507 | TN | Practitioner - Radiation Oncology | 9234303405 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Washington University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oncology Consultants PC
Practice addresses (Care Compare)
620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-6250
Hospital & facility affiliations
- Jackson-Madison County General Hospital
- Hardin Medical Center
- Dyersburg Regional Medical Center
- West Tennessee Healthcare Milan Hospital
- West Tennessee Healthcare Henry County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 42.59 of 100
- Quality
- 52.13
- Improvement activities
- 0
- Cost
- 66.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD024422 | TN | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oncology Consultants PC | Radiation Oncology | Current | Accepting new patients |
| West Tennessee Medical Group Inc | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Oncology Consultants PC | Past | Accepting new patients |
Locations
1804 Highway 45 Byp
Ste 607
Jackson, TN 38305
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
720 W Forest Ave
Jackson, TN 38301
Phone (731) 541-5087
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiation Oncology Physician
- Jackson, TN
- NPI 1922105881
Radiation Oncology, TN
-
- Specialist
- Jackson, TN
- NPI 1063509354
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
Hospital
-
- General Acute Care Hospital
- Paris, TN
- NPI 1497750244
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1972603785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 HIGHWAY 45 BYP",
"address_2": "SUITE 607",
"city": "JACKSON",
"state": "TN",
"postal_code": "383054436",
"telephone_number": "731-668-5335",
"fax_number": "731-668-6670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 SKYLINE DR",
"address_2": "RADIATION ONCOLOGY DEPT",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013923",
"telephone_number": "731-541-6250",
"fax_number": "731-541-6858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGIOU",
"first_name": "ANASTASIOS",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TN",
"license": "MD024422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3073988",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.