CHARLES AUGUSTIN STALEY


Address: 1365 Clifton Rd Ne, Bldg C, Atlanta, GA 30322-1013
Phone: 4047783301

CHARLES AUGUSTIN STALEY (NPI# 1134132657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134132657
Entity Type Individual
Full Name CHARLES AUGUSTIN STALEY
Credential MD
Practice Address 1365 Clifton Rd Ne
Bldg C
Atlanta
GA 30322-1013
Practice Telephone 4047783301
Mailing Telephone 4047783301
Enumeration Date 2006-08-14
Last Update Date 2011-09-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086X0206X Surgery
Specialization: Surgical Oncology
040559 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA BCBS 542386 01
GA RAILROAD MEDICARE 910000107 01
GA 000664331A 05
GA UNITED HEALTHCARE 1299416 01
GA US HEALTHCARE 581116 01

Other Providers CHARLES STALEY

NPI Name Taxonomy Address Enumeration
1518249747 Charles Ryan Staley Pharmacist 3093 Cleveland Ave, Columbus, OH 43224-3684 2011-09-14
1487694147 Charles A Staley Hospitalist 489 State St, Emic Kelley 6, Bangor, ME 04401-6616 2006-06-08

Office Location

Street Address 1365 CLIFTON RD NE
BLDG C
City ATLANTA
State GA
Zip Code 30322-1013

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124022637 Richard Duszak Jr. Radiology 1365 Clifton Rd Ne, Emory University Department of Radiology, Atlanta, GA 30322-1013 2005-06-13
1891319091 Kayla Sondria Freeman Registered Nurse 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 2020-06-03
1548881576 Rachelle Leona Rouse Student in an Organized Health Care Education/Training Program 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 2020-04-30
1982233227 Kayla Anne Nichols Pharmacist 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 2020-04-08
1326675380 Tankeia Tanye' Warren Nurse Practitioner 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 2020-03-26
1407488687 Bethany Joan Hanscom Physician Assistant 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 2020-02-06
1518505577 Juanjuan Wu Nurse Practitioner 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 2019-12-20
1942847587 Nour Majed Moukalled Internal Medicine 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 2019-12-02
1528604816 Tram Bao Vu Physician Assistant 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 2019-11-21
1083266845 Desiree Morgan Rogers Nurse Practitioner 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 2019-07-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700445830 Justin Gill Student in an Organized Health Care Education/Training Program 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 2019-06-12
1891354510 Gwendolyn Gisiner Gunn Genetic Counselor, MS Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 2019-06-06
1144710567 Lisa Cathy-ann Akosa Registered Nurse 1365 Cifton Road Ne, Atlanta, GA 30322 2018-05-10
1083118004 Jessica Milian Keilson Student in an Organized Health Care Education/Training Program 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 2018-03-23
1568982684 Jennifer Bilko Dietitian, Registered 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 2017-06-20
1134652258 Kassahun Bilcha Student in an Organized Health Care Education/Training Program 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 2017-04-05
1356872246 Tova Rogers Dermatology 1525 Clifton Road Suite 105, Atlanta, GA 30322 2017-03-23
1194271445 Dina Amin Dentist 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 2016-08-28
1427404904 Rita Kaur Kuwahara Student in an Organized Health Care Education/Training Program 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 2016-05-13
1891176251 Octav Cristea Transplant Surgery 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 2015-06-11
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Taxonomy Information

Taxonomy Code 2086X0206X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgical Oncology

Taxonomy Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902003684 Nicole Kounalakis Surgery 980 Johnson Fy Rd Ne Ste 940a, Atlanta, GA 30342-1609 2007-06-27
1780746289 Cletus Anthony Arciero Surgery 1364 Clifton Road, Ne, Emory University Hospital, Atlanta, GA 30322 2006-12-14
1083634067 William Wood Surgery 1327 Clifton Rd Ne, Atlanta, GA 30322-1013 2006-07-20
1487898276 Preeti Dilip Subhedar Surgery 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 2009-04-24
1235225889 Eddie K. Abdalla Surgery 980 Johnson Ferry Rd, Suite 170, Atlanta, GA 30342-1626 2006-10-04
1417960931 David Kooby Surgery 1365 Clifton Rd Ne, 2nd Floor, Atlanta, GA 30322-1013 2006-08-14
1366454753 Toncred M Styblo Surgery 1365 Clifton Rd Ne, Bldg C, Atlanta, GA 30322-1013 2006-08-13
1124030390 Keith Delman Surgery 1365 Clifton Rd Ne, Bldg C, Atlanta, GA 30322-1013 2006-08-13
1376567339 Sheryl Gabram Surgery 1365c Clifton Rd Ne, Atlanta, GA 30322-1013 2006-07-26
1114949237 Monica Rizzo Surgery 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 2006-07-25
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Competitor

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City ATLANTA
Zip Code 30322

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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