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Carolina Radiation Medicine, PA

Radiology Clinic/Center in Greenville, NC · enumerated 2005 · authorized official Gordon Koltis, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053315093

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Registry record

Entity type Organization (Type 2)
Legal business name Carolina Radiation Medicine, PA
Practice address 801 W H Smith Blvd, Greenville, NC, 27834
Phone (252) 329-0025
Fax (252) 329-0325
Enumeration date Jun 8, 2005
Last updated in NPPES Jul 18, 2008

Taxonomy & classification

261QR0200X Radiology Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Gordon Koltis
Title President
Phone (252) 329-0025

Other identifiers

Identifier Type State Issuer
118170 Other NC TRICARE
24-00059 Other NC UNITED HEALTHCARE
89010SK Medicaid NC -
010SK Other NC BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Carolina Radiation Medicine, PA?
NPPES lists Gordon Koltis (President) as the authorized official for this organization.
What is the NPI number for Carolina Radiation Medicine, PA?
The NPI for Carolina Radiation Medicine, PA is 1053315093, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-18.