OrganizationActive
Lw Gwinnett County Radiation
NPI 1104091602 · Specialist · Lawrenceville, GA
Provider details
- NPI number
- 1104091602
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Parent organization
- Radiotherapy Clinics of Georgia,llc
- Organization subpart
- Yes
- Authorized official
- Tammie Laviscount, Contract Analyst(770) 682-2080
- License
- 46327 (GA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
311 Philip Blvd
Lawrenceville, GA 30045-8733
Phone: (770) 995-3000
Fax: (770) 995-1427
Street-level locationGet directions
Mailing address
53 Perimeter Ctr E
Atlanta, GA 30346-2294
Other names (DBA / former)
- Other name
- Radiotherapy Clinics of Georgia
Registry dates
- Enumerated
- 2008-04-25
- Last updated
- 2008-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.