Damon Black (NPI# 1225071616, PAC ID# 6002829710) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1225071616 |
| PAC ID by PECOS | 6002829710 |
| Professional Enrollment ID | I20060725000368 |
| Full Name | Damon Black |
| Organization Legal Name | CANCER TREATMENT CENTERS OF AMERICA PROFESSIONAL CORPORATION OFGEORGIA |
| Address |
600 Celebrate Life Pkwy Newnan GA 30265-8001 |
| Phone Number | 7704006296 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 2000 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4880841212 |
| Number of Group Practice Members | 133 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110233 | SOUTHEASTERN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 | 7704006296 | CANCER TREATMENT CENTERS OF AMERICA PROFESSIONAL CORPORATION OFGEORGIA |
| Organization Legal Name | CANCER TREATMENT CENTERS OF AMERICA PROFESSIONAL CORPORATION OFGEORGIA |
| Physicians | 115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maafia Osei-cheremeh | Nurse Practitioner | Cancer Treatment Centers of America Professional Corporation Ofgeorgia | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 |
| Jessica J Isaac | Nurse Practitioner | Cancer Treatment Centers of America Professional Corporation Ofgeorgia | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 |
| Henry J Krebs Iii | Diagnostic Radiology | Cancer Treatment Centers of America Professional Corporation Ofgeorgia | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 |
| Ashish Dhungel | Nephrology | Cancer Treatment Centers of America Professional Corporation Ofgeorgia | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 |
| Julia E Ballard | Emergency Medicine | Cancer Treatment Centers of America Professional Corporation Ofgeorgia | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 |
| Scott W Shelfo | Urology | Cancer Treatment Centers of America Professional Corporation Ofgeorgia | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 |
| Gary L Bernstein | General Surgery | Cancer Treatment Centers of America Professional Corporation Ofgeorgia | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 |
| Jeffrey Metts | Internal Medicine | Cancer Treatment Centers of America Professional Corporation Ofgeorgia | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 |
| Frederick L Durden Jr. | Plastic and Reconstructive Surgery | Cancer Treatment Centers of America Professional Corporation Ofgeorgia | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 |
| Dell Renee Griner | Nurse Practitioner | Cancer Treatment Centers of America Professional Corporation Ofgeorgia | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 |
| Street Address |
600 CELEBRATE LIFE PKWY |
| City | NEWNAN |
| State | GA |
| Zip | 30265-8001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maafia Osei-cheremeh | Nurse Practitioner | Cancer Treatment Centers of America Professional Corporation Ofgeorgia | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 |
| Jessica J Isaac | Nurse Practitioner | Cancer Treatment Centers of America Professional Corporation Ofgeorgia | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 |
| Henry J Krebs Iii | Diagnostic Radiology | Cancer Treatment Centers of America Professional Corporation Ofgeorgia | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 |
| Ashish Dhungel | Nephrology | Cancer Treatment Centers of America Professional Corporation Ofgeorgia | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 |
| Julia E Ballard | Emergency Medicine | Cancer Treatment Centers of America Professional Corporation Ofgeorgia | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 |
| Scott W Shelfo | Urology | Cancer Treatment Centers of America Professional Corporation Ofgeorgia | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 |
| Gary L Bernstein | General Surgery | Cancer Treatment Centers of America Professional Corporation Ofgeorgia | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 |
| Jeffrey Metts | Internal Medicine | Cancer Treatment Centers of America Professional Corporation Ofgeorgia | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 |
| Frederick L Durden Jr. | Plastic and Reconstructive Surgery | Cancer Treatment Centers of America Professional Corporation Ofgeorgia | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 |
| Dell Renee Griner | Nurse Practitioner | Cancer Treatment Centers of America Professional Corporation Ofgeorgia | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janeann Lee | Qualified Audiologist | Milton Hall Surgical Associates, LLC | 1595 E Hwy 34, Newnan, GA 30265 |
| Sydney Adams Cowing | Qualified Audiologist | James G. Burson, Md, LLC | 2080 Newman Crossing Blvd, Ste200, Newman, GA 30265 |
| Kimberly Campbell | Nurse Practitioner | Piedmont Medical Care Corporation | 1825 Hwy 34 E, Suite 3000, Newnan, GA 30265 |
| Amy Rebecca Jeffries | Optometry | Amy Jeffries, O.d., P.C. | 3150 Hwy 34 E, Suite 306, Newnan, GA 30265 |
| Sean M Miles | Family Medicine | 1605 Hwy 34 E, A2, Newnan, GA 30265 | |
| James G Burson | Otolaryngology | James G. Burson, Md, LLC | 2080 Newman Crossing Blvd, Ste200, Newman, GA 30265 |
| Anisha Patel | Ophthalmology | Amy Jeffries, O.d., P.C. | 3150 Hwy 34 E, Suite 306, Newnan, GA 30265 |
| Shawnte M Hall-kraft | Family Medicine | Piedmont Medical Care Corporation | 1825 Hwy 34 E, Suite 3000, Newnan, GA 30265 |
| Cynthia J Mcdonald | Physician Assistant | Milton Hall Surgical Associates, LLC | 1595 E Hwy 34, Newnan, GA 30265 |
| Jennifer Pound | Audiologist | Milton Hall Surgical Associates, LLC | 1595 E Hwy 34, Newnan, GA 30265 |
| Find all physicians in zip 30265 | |||
| City | NEWNAN |
| Zip Code | 30265 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | NEWNAN + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Damon Black.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.