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COLISEUM PARK CANCER TREATMENT CENTER
NPI 1619921020
Specialist in Macon, GA

Active since May 20, 2006
308 COLISEUM DR, SUITE 100, MACON, GA 31217(478) 742-2278(478) 742-2673 Get Directions Write a Review

NPPES record last updated: August 28, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coliseum Park Cancer Treatment Center NPPES

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

COLISEUM PARK CANCER TREATMENT CENTER (NPI 1619921020) is a healthcare organization registered as a specialist in Macon, Georgia and active in the NPI registry since May 2006. The organization lists Dale Mccord, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619921020
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOLISEUM PARK CANCER TREATMENT CENTER
Location Address308 COLISEUM DR, SUITE 100Macon, GA 31217-3865
Mailing Address3330 Preston Ridge Rd, Suite 300Alpharetta, GA 30005-4508 · (770) 350-0126 · Fax (770) 350-6637
Phone(478) 742-2278
Fax(478) 742-2673
Organization SubpartNo
Authorized OfficialDale MccordCeo · (770) 350-0126
Enumeration DateMay 20, 2006
Last NPPES UpdateAugust 28, 2014
✔ NPI 1619921020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
308 COLISEUM DR, Macon, GA 31217
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Other Identifiers 1

Medicare ID-Type Unspecified224GA · Group

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 Alliant Health Plans, Inc..Insurance ›

Other Providers at the Same Location NPPES 20

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

CASSANDRA MICHEL FLOYD PHARMD
Pharmacist
308 COLISEUM DR, SUITE 150
MACON, GA 31217
Bibb County (478) 741-8599
DAVID E KENT MD
Dermatology (MOHS-Micrographic Surgery)
308 COLISEUM DR, SUITE 200
MACON, GA 31217
Bibb County (478) 742-2180
MR. JOHNATHAN PHILLIP HARKINS PA-C
Physician Assistant
308 COLISEUM DR
MACON, GA 31217
Bibb County (478) 742-2180
DR. PREMILA MALHOTRA MD
Internal Medicine (Hematology & Oncology)
308 COLISEUM DR, SUITE 120
MACON, GA 31217
Bibb County (478) 745-6130
NORTHSIDE HOSPITAL, INC.
Pharmacy (Community/Retail Pharmacy)
308 COLISEUM DR
MACON, GA 31217
Bibb County (478) 741-8599
MR. JEFFREY ALAN HARRIS MSN
Nurse Practitioner
308 COLISEUM DR, SUITE 120
MACON, GA 31217
Bibb County (478) 745-6130
CAITLIN ELIZABETH EILERS PA-C
Physician Assistant
308 COLISEUM DR, SUITE 200
MACON, GA 31217
Bibb County (478) 742-2180
MS. LAURIE G. JOHNSON MSN
Nurse Practitioner
308 COLISEUM DR, SUITE 120
MACON, GA 31217
Bibb County (770) 496-9400

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 Coliseum Park Cancer Treatment Center's NPI number?

The NPI number for Coliseum Park Cancer Treatment Center is 1619921020. It was assigned to this organization in the NPPES registry on May 20, 2006.

Where is Coliseum Park Cancer Treatment Center located?

Coliseum Park Cancer Treatment Center is located at 308 Coliseum Dr Suite 100, Macon, GA 31217. The listed phone number is (478) 742-2278.

What is Coliseum Park Cancer Treatment Center's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Coliseum Park Cancer Treatment Center accept?

Health plans from Alliant Health Plans, Inc. list Coliseum Park Cancer Treatment Center 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 Coliseum Park Cancer Treatment Center was last updated on August 28, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.