CAROLINA RADIATION MEDICINE, PA
NPI 1053315093
Clinic/Center - Radiology in Greenville, NC

Q: What is Carolina Radiation Medicine, PA's NPI number?

The NPI number for Carolina Radiation Medicine, PA is 1053315093. It was assigned to this organization in the NPPES registry on June 8, 2005.

Q: What is Carolina Radiation Medicine, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Active since June 08, 2005

801 W H SMITH BLVD, GREENVILLE, NC 27834(252) 329-0025(252) 329-0325 Get Directions Write a Review

NPPES record last updated: July 18, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Carolina Radiation Medicine, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINA RADIATION MEDICINE, PA (NPI 1053315093) is a healthcare organization registered as a radiology in Greenville, North Carolina and active in the NPI registry since June 2005. The organization lists Gordon Gary Koltis, President, as its authorized official.

NPPES Registry Identity

NPI1053315093

Entity TypeOrganization

Primary Taxonomy261QR0200X

Legal Business NameCAROLINA RADIATION MEDICINE, PA

Location Address801 W H SMITH BLVDGreenville, NC 27834-3764

Mailing Address801 W H Smith BlvdGreenville, NC 27834-3764 · (252) 329-0025 · Fax (252) 329-0325

Phone(252) 329-0025

Fax(252) 329-0325

Organization SubpartNo

Authorized OfficialGordon Gary KoltisPresident · (252) 329-0025

Enumeration DateJune 8, 2005

Last NPPES UpdateJuly 18, 2008

✔ NPI 1053315093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities

Taxonomy Code261QR0200X

801 W H SMITH BLVD, Greenville, NC 27834

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Other Identifiers 8

Other=========0010WI · Bcbs

Medicare PIN2311311ANC

Other118170NC · Tricare

Other24-00059NC · United Healthcare

Other=========003NC · Tricare

Medicare PIN2311311NC

Other010SKNC · Bcbs

Medicaid89010SKNC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RON R ALLISON MD

Radiology (Radiation Oncology)

801 W H SMITH BLVD
GREENVILLE, NC 27834

Pitt County (252) 329-0025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolina Radiation Medicine, PA's NPI number?

The NPI number for Carolina Radiation Medicine, PA is 1053315093. It was assigned to this organization in the NPPES registry on June 8, 2005.

Where is Carolina Radiation Medicine, PA located?

Carolina Radiation Medicine, PA is located at 801 W H Smith Blvd, Greenville, NC 27834. The listed phone number is (252) 329-0025.

What is Carolina Radiation Medicine, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

When was this NPI record last updated?

The NPPES record for Carolina Radiation Medicine, PA was last updated on July 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.