Tidewater Radiation Services, LLC
NPI 1801289392 · Radiation Oncology Physician · Elizabeth City, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tidewater Radiation Services, LLC is a Radiation Oncology Physician organization in Elizabeth City, NC (NPI 1801289392).
Provider details
- NPI number
- 1801289392
- Entity type
- Organization
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Janete Mills, Owner(252) 384-4122
- License
- 2013-00861 (NC)
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
11 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
Mailing address
Registry dates
- Enumerated
- 2015-03-09
- Last updated
- 2015-03-09
Frequently asked questions
- What is Tidewater Radiation Services, LLC's NPI number?
- Tidewater Radiation Services, LLC's National Provider Identifier (NPI) is 1801289392, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidewater Radiation Services, LLC?
- Tidewater Radiation Services, LLC is classified in the NPPES registry as Radiation Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Tidewater Radiation Services, LLC located?
- Tidewater Radiation Services, LLC's practice location on file with NPPES is 1144 N Road St, Elizabeth City, NC 27909-3473.
- What is Tidewater Radiation Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Tidewater Radiation Services, LLC is (252) 384-4122.
- Does Tidewater Radiation Services, LLC accept Medicare?
- Tidewater Radiation Services, LLC 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 Tidewater Radiation Services, LLC?
- The authorized official listed on Tidewater Radiation Services, LLC's NPPES record is Janete Mills, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidewater Radiation Services, LLC's NPI active?
- Yes — Tidewater Radiation Services, LLC's NPI (1801289392) is active in the NPPES registry as of the last update on 2015-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.