Therapeutic Radiation Oncology, PC
NPI 1629019534 · Radiation Oncology Physician · Fayetteville, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Therapeutic Radiation Oncology, PC is a Radiation Oncology Physician organization in Fayetteville, GA (NPI 1629019534).
Provider details
- NPI number
- 1629019534
- Entity type
- Organization
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nelda Champagne, Billing Manager(770) 907-0554
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Additional practice locations (2)
- 745 Poplar RdNewnan, GA 30265-1618Phone: (770) 400-4700Fax: (770) 400-4096
- 1133 Eagles Landing PkwyStockbridge, GA 30281-5085Phone: (678) 251-1099Fax: (678) 604-1960
Registry dates
- Enumerated
- 2006-06-10
- Last updated
- 2021-12-27
- Certified
- 2021-12-27
Frequently asked questions
- What is Therapeutic Radiation Oncology, PC's NPI number?
- Therapeutic Radiation Oncology, PC's National Provider Identifier (NPI) is 1629019534, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Therapeutic Radiation Oncology, PC?
- Therapeutic Radiation Oncology, PC is classified in the NPPES registry as Radiation Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Therapeutic Radiation Oncology, PC located?
- Therapeutic Radiation Oncology, PC's practice location on file with NPPES is 1255 Highway 54 W, Fayetteville, GA 30214-4526.
- What is Therapeutic Radiation Oncology, PC's phone number?
- The practice phone number listed in the NPPES registry for Therapeutic Radiation Oncology, PC is (770) 719-5850.
- Does Therapeutic Radiation Oncology, PC accept Medicare?
- Therapeutic Radiation Oncology, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Therapeutic Radiation Oncology, PC?
- The authorized official listed on Therapeutic Radiation Oncology, PC's NPPES record is Nelda Champagne, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Therapeutic Radiation Oncology, PC's NPI active?
- Yes — Therapeutic Radiation Oncology, PC's NPI (1629019534) is active in the NPPES registry as of the last update on 2021-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.