| Emory Proton Therapy Center | |
|
615 Peachtree St Ne Atlanta GA 30308-2309 | |
| (770) 217-7565 | |
| Not Available |
| Full Name | Emory Proton Therapy Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 615 Peachtree St Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Debra Lockwood (VP, CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2257663977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emory Proton Therapy Center 615 Peachtree St Ne Atlanta GA 30308-2309 Ph: (770) 217-7565 | Emory Proton Therapy Center 615 Peachtree St Ne Atlanta GA 30308-2309 Ph: (770) 217-7565 |
| NPI Number | 1083107999 |
|---|---|
| Provider Enumeration Date | 06/14/2018 |
| Last Update Date | 06/14/2018 |
| Medicare PECOS PAC ID | 0749524312 |
|---|---|
| Medicare Enrollment ID | O20181207002533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083107999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Georgia) | Primary |
| 261QX0203X | Clinic/center - Oncology, Radiation | (* (Not Available)) | Secondary |
| Provider Name | Hui-kuo George Shu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1952316697 PECOS PAC ID: 0143275065 Enrollment ID: I20050614000504 |
| Provider Name | Ashesh B Jani |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1346280575 PECOS PAC ID: 8426060815 Enrollment ID: I20060630000021 |
| Provider Name | Jonathan J Beitler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265536635 PECOS PAC ID: 7012996762 Enrollment ID: I20071203000477 |
| Provider Name | Walter J Curran |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1326060773 PECOS PAC ID: 4385600907 Enrollment ID: I20080520000052 |
| Provider Name | Mylin A Torres |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1326214479 PECOS PAC ID: 7012070212 Enrollment ID: I20090114000619 |
| Provider Name | Karen D Godette |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093721029 PECOS PAC ID: 3779612064 Enrollment ID: I20100525000673 |
| Provider Name | Heather Gatcombe |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1457538944 PECOS PAC ID: 0547394819 Enrollment ID: I20100823000671 |
| Provider Name | Natia Esiashvili |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1306803051 PECOS PAC ID: 4183748148 Enrollment ID: I20100826001130 |
| Provider Name | Bruce V Hershatter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477597656 PECOS PAC ID: 9234321456 Enrollment ID: I20101006001019 |
| Provider Name | David S Yu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043367865 PECOS PAC ID: 0941494942 Enrollment ID: I20101103001238 |
| Provider Name | Joseph W Shelton |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093990350 PECOS PAC ID: 9133307945 Enrollment ID: I20110627000431 |
| Provider Name | Mohammad K Khan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487823654 PECOS PAC ID: 8325218605 Enrollment ID: I20110823001013 |
| Provider Name | Kristin Higgins |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730353327 PECOS PAC ID: 1557531894 Enrollment ID: I20110824000668 |
| Provider Name | Shannon Tucker Kahn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275710899 PECOS PAC ID: 6608053459 Enrollment ID: I20111013000393 |
| Provider Name | Andrea P Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013254283 PECOS PAC ID: 8820238769 Enrollment ID: I20130717000309 |
| Provider Name | Pretesh R Patel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750543807 PECOS PAC ID: 5799926721 Enrollment ID: I20140826002060 |
| Provider Name | Sheela Hanasoge |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1598080913 PECOS PAC ID: 6709190804 Enrollment ID: I20150803002566 |
| Provider Name | Bree R Eaton |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861629107 PECOS PAC ID: 8729207287 Enrollment ID: I20150922001962 |
| Provider Name | Mark W Mcdonald |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1144408287 PECOS PAC ID: 7113070590 Enrollment ID: I20150925001422 |
| Provider Name | Jolinta Lin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1023301082 PECOS PAC ID: 2466751441 Enrollment ID: I20161214001919 |
| Provider Name | Camille Melinda Usher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629526280 PECOS PAC ID: 7113201716 Enrollment ID: I20170227001722 |
| Provider Name | Amber Burke Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710427893 PECOS PAC ID: 0446537492 Enrollment ID: I20170501001825 |
| Provider Name | Tony Y Eng |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275640260 PECOS PAC ID: 5092815845 Enrollment ID: I20180212000191 |
| Provider Name | William A Stokes |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811330731 PECOS PAC ID: 6608019807 Enrollment ID: I20180821003247 |
| Provider Name | Benjamin Fischer Valuck |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1023351673 PECOS PAC ID: 3870736028 Enrollment ID: I20180918003593 |
| Provider Name | Jim Zhong |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1417391962 PECOS PAC ID: 8527360312 Enrollment ID: I20181012001045 |
| Provider Name | Sagar Anil Patel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861830234 PECOS PAC ID: 5092095893 Enrollment ID: I20181107003087 |
| Provider Name | Lindsay Lancaster Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902250830 PECOS PAC ID: 6800180191 Enrollment ID: I20181128001842 |
| Provider Name | Clayton B Hess |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235429507 PECOS PAC ID: 7517271596 Enrollment ID: I20190311000708 |
| Provider Name | Lauren Yantorni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265975403 PECOS PAC ID: 1658655162 Enrollment ID: I20190430000994 |
| Provider Name | Jeffrey Bradley |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1699793232 PECOS PAC ID: 8729113717 Enrollment ID: I20190917002582 |
| Provider Name | Soumon Rudra |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1801282850 PECOS PAC ID: 4688096852 Enrollment ID: I20200616001640 |
| Provider Name | James E Bates |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1659767739 PECOS PAC ID: 3870887201 Enrollment ID: I20200723000125 |
| Provider Name | Zachary Scott Buchwald |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1497140552 PECOS PAC ID: 4486079480 Enrollment ID: I20200807002367 |
| Provider Name | Nikhil Sebastian |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1306231477 PECOS PAC ID: 3375852577 Enrollment ID: I20200909001894 |
| Provider Name | Sunil William Dutta |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1902291990 PECOS PAC ID: 4789002528 Enrollment ID: I20200910003287 |
| Provider Name | Sibo Tian |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861887317 PECOS PAC ID: 3971892738 Enrollment ID: I20200925000507 |
| Provider Name | Jill Remick |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073992038 PECOS PAC ID: 2567768054 Enrollment ID: I20201001003354 |
| Provider Name | Lisa Jane Sudmeier |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1306379409 PECOS PAC ID: 1557745403 Enrollment ID: I20220826001785 |
| Provider Name | Vishal Ramesh Dhere |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568995223 PECOS PAC ID: 5193109395 Enrollment ID: I20220908000111 |
| Provider Name | Reshma Jagsi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376512954 PECOS PAC ID: 6002919198 Enrollment ID: I20230202000865 |
Extreme Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2484 Briarcliff Rd Ne, Suite 22-353, Atlanta, GA 30329 Phone: 678-237-6363 | |
Saint Joseph's Mercy Care - Mary Hall Freedom House Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hannover Park Rd Ste 100, Atlanta, GA 30350 Phone: 678-843-8500 Fax: 678-843-8601 | |
Physicians Care Centers Of Atlanta, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 Boulevard Ne, Suite 435, Atlanta, GA 30312 Phone: 561-385-0731 | |
Tis (to Inspire Strong) African Children Fund, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2233 Peachtree Rd Ne Ste 206a, Atlanta, GA 30309 Phone: 202-872-8333 | |
Comfort Medical Center Phoenix Blvd, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 Phoenix Blvd Ste 125, Atlanta, GA 30349 Phone: 404-982-4228 Fax: 404-275-0676 | |
Aylo Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339 Phone: 770-914-0116 Fax: 770-914-7703 | |
Cardiac Disease Specialists, Pc- Sheffield Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1938 Peachtree Rd Nw, Ste 412, Atlanta, GA 30309 Phone: 404-351-3231 Fax: 404-351-3167 |