Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gary Stillwagon, MD

Individual provider Specialist · NPI 1548244817

Dr. Gary Stillwagon, MD is a Radiation Oncology in Lawrenceville, Georgia. Graduated from University of Tennessee, Hsc, College of Medicine in 1983, 43 years ago. Practices with North Atlanta Professional Services LLC, a 423-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
43
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
GA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

698 Duluth Hwy Ste 100
Lawrenceville, GA 30046-7645
Phone: (770) 962-8888
Fax: (770) 963-7447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence 035774 (GA)
Specialist Taxonomy 174400000X · Licence 035774 (GA)

Record details

NPI number1548244817
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 1, 2005
Last updated in NPPESJuly 13, 2015
Mailing addressPo Box 116470, Atlanta, GA 30368-6470

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyRADIATION ONCOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 1983 (43 years in practice)
Group practice North Atlanta Professional Services Llc — 423 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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