WELLSTAR COBB HOSPITAL CANCER CENTER LLC
NPI 1366863979
Radiology - Radiation Oncology in Austell, GA

NPI Status: Active since December 27, 2013

Contact Information

1800 HOSPITAL SOUTH DR
AUSTELL, GA
ZIP 30106
Phone: (770) 948-6000
Fax: (770) 948-2638

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  • Organization
  • Radiology
  • Radiation Oncology
  • CLIA Number: 11D0020351
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 11-30-2027

About WELLSTAR COBB HOSPITAL CANCER CENTER LLC

This page provides the complete NPI Profile along with additional information for Wellstar Cobb Hospital Cancer Center Llc, a provider established in Austell, Georgia operating as a Radiology, focusing in radiation oncology . The healthcare provider is registered in the NPI registry with number 1366863979 assigned on December 2013. The practitioner's primary taxonomy code is 2085R0001X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Nelda Champagne (Supervisor Patient Financial Ser)

NPI
1366863979
Provider Name
WELLSTAR COBB HOSPITAL CANCER CENTER LLC
Entity Type
Organization
Location Address
1800 HOSPITAL SOUTH DR AUSTELL, GA 30106
Location Phone
(770) 948-6000
Location Fax
(770) 948-2638
Mailing Address
1800 HOSPITAL SOUTH DR AUSTELL, GA 30106
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-27-2013
Last Update Date
12-27-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Radiation Oncology

Taxonomy Code
2085R0001X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NELDA CHAMPAGNE

Authorized Official Title
SUPERVISOR PATIENT FINANCIAL SER
Authorized Official Phone
(770) 907-0554

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D0020351
Facility Type
Hospital
Certificate Effective Date
December 01, 2025
Certificate Expiration Date
November 30, 2027
Laboratory Director
DR. JONATHON B. HERBST
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Wellstar Cobb Hospital Cancer Center Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1366863979, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 8 → 16 → 7 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 2 + 6 + 1 + 6 + 6 + 6 + 9 + 1 + 4 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1366863979.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Radiology (Radiation Oncology)
1800 HOSPITAL SOUTH DR
AUSTELL, GA 30106
Radiology (Radiation Oncology)
1800 HOSPITAL SOUTH DR
AUSTELL, GA 30106
Radiology (Radiation Oncology)
1800 HOSPITAL SOUTH DR
AUSTELL, GA 30106
Radiology (Radiation Oncology)
1800 HOSPITAL SOUTH DR
AUSTELL, GA 30106
Radiology (Radiation Oncology)
1800 HOSPITAL SOUTH DR
AUSTELL, GA 30106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366863979, enumerated as an "organization" on December 27, 2013.

The provider is located at 1800 HOSPITAL SOUTH DR AUSTELL, GA 30106 and the phone number is (770) 948-6000.

Radiology with taxonomy code 2085R0001X and a focus in Radiation Oncology.