THERAPEUTIC RADIATION ONCOLOGY, PC
NPI 1629019534
Radiology - Radiation Oncology in Fayetteville, GA

Q: What is Therapeutic Radiation Oncology, PC's NPI number?

The NPI number for Therapeutic Radiation Oncology, PC is 1629019534. It was assigned to this organization in the NPPES registry on June 10, 2006.

Q: What is Therapeutic Radiation Oncology, PC's specialty?

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

Active since June 10, 2006

1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214(770) 719-5850(770) 719-5849 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 27, 2021, Mar 17, 2018, Nov 28, 2017 (3 updates tracked since 2017).

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About Therapeutic Radiation Oncology, Pc NPPES

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

THERAPEUTIC RADIATION ONCOLOGY, PC (NPI 1629019534) is a healthcare organization registered as a radiation oncology in Fayetteville, Georgia and active in the NPI registry since June 2006. The organization maintains 2 additional practice locations and lists Nelda H Champagne, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1629019534

Entity TypeOrganization

Primary Taxonomy2085R0001X

Legal Business NameTHERAPEUTIC RADIATION ONCOLOGY, PC

Location Address1255 HIGHWAY 54 WFayetteville, GA 30214-4526

Mailing Address255 Professional CtRiverdale, GA 30274-2531 · (770) 907-0554 · Fax (770) 907-9048

Phone(770) 719-5850

Fax(770) 719-5849

Organization SubpartNo

Authorized OfficialNelda H ChampagneBilling Manager · (770) 907-0554

Enumeration DateJune 10, 2006

Last NPPES UpdateDecember 27, 20213 updates tracked since enumeration

NPPES CertifiedDecember 27, 2021

✔ NPI 1629019534 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.

1255 HIGHWAY 54 W, Fayetteville, GA 30214

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Secondary Practice Locations 2

Location 1745 Poplar RdNewnan, GA 30265-1618 · Phone (770) 400-4700 · Fax (770) 400-4096

Location 21133 Eagles Landing PkwyStockbridge, GA 30281-5085 · Phone (678) 251-1099 · Fax (678) 604-1960

Other Identifiers 2

Other1629019534GA · Npi

Medicaid300021609AGA

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 Health, Ambetter of Alabama and more.Insurance ›

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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.

DR. ROBIN LOWMAN WHITE

Emergency Medicine