Individual provider Active NPI

Anastasios L Georgiou, M.D.

  • Radiation Oncology Physician
  • Jackson, TN
National Provider Identifier
1972603785
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD024422 Issued in TN
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

Updated by the provider on Nov 10, 2011

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 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

IdentifierTypeStateIssuer
3073988MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PCGroup PAC ID 2860402831, 4 clinicians

Practice addresses (Care Compare)

620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-6250

Hospital & facility affiliations

  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
  • Hardin Medical Center Hospital, Savannah, TN, CCN 440109
  • Dyersburg Regional Medical Center Hospital, Dyersburg, TN, CCN 440072
  • West Tennessee Healthcare Milan Hospital Hospital, Milan, TN, CCN 440060
  • West Tennessee Healthcare Henry County Hospital Hospital, Paris, TN, CCN 440132

Merit-based Incentive Payment System (MIPS)

Final score
42.59 of 100Reported as individual
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

LicenseStateTypeSpecialty
MD024422TNMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Consultants PC Radiation Oncology CurrentSince May 1, 1993 Accepting new patients
West Tennessee Medical Group Inc CurrentSince Aug 20, 2013 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.