P Praxis·MD
● Active Type 2 · Organization

Therapeutic Radiation Oncology, Pc

Radiology·Fayetteville, GA· NPI 1629019534 · Enumerated 2006 · 19 years on NPI
Therapeutic Radiation Oncology, Pc is 1 of 220 radiology organizations in Georgia.
NPI age
19 years
Enumerated 2006-06-10
Primary specialty
Radiology
Practice locations
3
2 secondary on file
Status
Active
No deactivations on record
Authorized official
Champagne
Billing Manager
Last NPPES update
2021-12-27
Source: monthly bulk 2026-05

How this organization compares

Across 220 active radiology providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
Practice locations
3
2 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1255 Highway 54 W
Fayetteville, GA 302144526
📞 7707195850fax 7707195849
Mailing address
255 Professional Ct
Riverdale, GA 302742531
📞 7709070554fax 7709079048

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
1133 Eagles Landing Pkwy
Stockbridge, GA 302815085
📞 6782511099fax 6786041960
Location 3
745 Poplar Rd
Newnan, GA 302651618
📞 7704004700fax 7704004096

Authorized official

Nelda H Champagne
Billing Manager
📞 7709070554

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Radiology Primary
    A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
    taxonomy 2085R0001X

Identifiers

TypeValueNotes
05 (GA) 300021609A
01 (GA) 1629019534 NPI

Practice context

Multi-provider organization. 20 individual providers on file at this primary address. Plus 2 secondary practice locations.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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