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SOUTHEAST RADIATION ONCOLOGY GROUP, P.A.
NPI 1568400109
Radiology - Radiation Oncology in Charlotte, NC

Active since June 04, 2006
200 QUEENS RD, SUITE 400, CHARLOTTE, NC 28204(704) 333-7376(704) 333-3397 Get Directions Write a Review

NPPES record last updated: January 26, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeast Radiation Oncology Group, P.a. NPPES

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

SOUTHEAST RADIATION ONCOLOGY GROUP, P.A. (NPI 1568400109) is a healthcare organization registered as a radiation oncology in Charlotte, North Carolina and active in the NPI registry since June 2006. The organization lists Paul A Williams, Administrator, as its authorized official.

NPPES Registry Identity

NPI1568400109
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameSOUTHEAST RADIATION ONCOLOGY GROUP, P.A.
Location Address200 QUEENS RD, SUITE 400Charlotte, NC 28204-3252
Mailing Address200 Queens Rd, Suite 400Charlotte, NC 28204-3252 · (704) 333-7376 · Fax (704) 333-3397
Phone(704) 333-7376
Fax(704) 333-3397
Organization SubpartNo
Authorized OfficialPaul A WilliamsAdministrator · (704) 333-7376
Enumeration DateJune 4, 2006
Last NPPES UpdateJanuary 26, 2010
✔ NPI 1568400109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
200 QUEENS RD, Charlotte, NC 28204
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Other Identifiers 6

Medicare ID-Type Unspecified230288NC
MedicaidNPA534SC
Other01351NC · Blue Cross
Other131977United Healthcare
Medicare ID-Type UnspecifiedCA0264SC · Railroad Medicare
Medicaid8901351NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC and more.Insurance ›

Other Providers at the Same Location NPPES 10

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

KELLI A. REARDON M.D.
Radiology (Radiation Oncology)
200 QUEENS RD
CHARLOTTE, NC 28204
Mecklenburg County (434) 982-0777
MRS. LINDA RENEE COVERDALE P.A.
Physician Assistant (Medical)
200 QUEENS RD, SUITE 400
CHARLOTTE, NC 28204
Mecklenburg County (704) 333-7376
DAWN MARIE KOZLOWSKI PA-C
Physician Assistant
200 QUEENS RD, SUITE 400
CHARLOTTE, NC 28204
Mecklenburg County (704) 333-7376
MARQUIEZ DENISE BALLARD PA-C
Physician Assistant
200 QUEENS RD, SUITE 400
CHARLOTTE, NC 28204
Mecklenburg County (704) 333-7376
ROBIN VANESSA BOULWARE-ABRAHAM
Counselor (Mental Health)
200 QUEENS RD
CHARLOTTE, NC 28204
Mecklenburg County (704) 980-3082
ELIZABETH ANNE STRATTON PA-C
Physician Assistant (Medical)
200 QUEENS RD, SUITE 400
CHARLOTTE, NC 28204
Mecklenburg County (704) 333-7376
SHELILEAH RAMSEY NEWMAN M.D.
Radiology (Radiation Oncology)
200 QUEENS RD, SUITE 400
CHARLOTTE, NC 28204
Mecklenburg County (704) 200-0841
DR. CAROLINA FASOLA M.D., M.P.H.
Radiology (Radiation Oncology)
200 QUEENS RD, SUITE 400
CHARLOTTE, NC 28204
Mecklenburg County (704) 333-7376

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 Southeast Radiation Oncology Group, P.A.'s NPI number?

The NPI number for Southeast Radiation Oncology Group, P.A. is 1568400109. It was assigned to this organization in the NPPES registry on June 4, 2006.

Where is Southeast Radiation Oncology Group, P.A. located?

Southeast Radiation Oncology Group, P.A. is located at 200 Queens Rd Suite 400, Charlotte, NC 28204. The listed phone number is (704) 333-7376.

What is Southeast Radiation Oncology Group, P.A.'s specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

What insurance does Southeast Radiation Oncology Group, P.A. accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina list Southeast Radiation Oncology Group, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeast Radiation Oncology Group, P.A. was last updated on January 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.