NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC (NPI# 1003167172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003167172 |
| Entity Type | Organization |
| Organization Name | NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC |
| Other Organization Name | NSH CIPS G |
| Practice Address |
159 Enterprise Path Suite 503 Hiram GA 30141-7600 |
| Mailing Address |
1835 Savoy Dr Suite 300 Atlanta GA 30341-1072 |
| Practice Telephone | 7704436019 |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2014-05-12 |
| Authorized Official Name | JORGE J HERNANDEZ (VP OF ADMIN SERVICES AND CCO) |
| Authorized Official Telephone | 4048516378 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHSIDE HOSPITAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| NSH CIPS G | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992058903 | Nsh Cancer Institute Professional Services G LLC | Pharmacy | 308 Coliseum Dr, Suite 120, Macon, GA 31217-3865 | 2012-10-16 |
| 1568713634 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 1045 Southcrest Dr, Suite 200, Stockbridge, GA 30281-6113 | 2012-09-28 |
| 1194076265 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 1668 Mulkey Rd, Suite A, Austell, GA 30106-1143 | 2012-09-28 |
| 1760733836 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 1100 Johnson Ferry Rd Ne, Suite 600, Atlanta, GA 30342-1709 | 2012-09-28 |
| 1679824742 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 790 Church St Ne, Suite 335, Marietta, GA 30060-7282 | 2012-09-28 |
| 1477804540 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 6300 Hospital Pkwy, Suite 300, Johns Creek, GA 30097-1828 | 2012-09-28 |
| 1821349994 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 320 Parkway Dr Ne, Suite 208, Atlanta, GA 30312-1213 | 2012-09-28 |
| 1801147970 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 747 S. 8th Street, Suite C, Griffin, GA 30224-4880 | 2012-09-28 |
| 1710238886 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 624 W Martin Luther King Jr Dr, Milledgeville, GA 31061-2787 | 2012-09-28 |
| 1629329792 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 101 Riverstone Vis, Suite 102, Blue Ridge, GA 30513-6648 | 2012-09-28 |
| Street Address |
159 ENTERPRISE PATH SUITE 503 |
| City | HIRAM |
| State | GA |
| Zip Code | 30141-7600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801255690 | Belinda Lett Baker | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5316 Jones Reserve Walk, Hiram, GA 30141 | 2016-02-22 |
| 1104213339 | Matthew Lee Estes | Nurse Practitioner | 148 Bill Carruth Pkwy Ste 220, Hiram, GA 30141 | 2015-04-26 |
| 1881088649 | Marietta Eye Clinic, Pa | Optometrist | 47 Highland Pavilion Ct, Suite 101, Hiram, GA 30141 | 2015-03-19 |
| 1902217417 | Hiram Dental Group, PC | Dentist | 5218 Jimmy Lee Smith Parkway, Suite 100, Hiram, GA 30141 | 2014-05-19 |
| 1912340613 | Anuj Patel | Orthopaedic Surgery | 148 Bill Carruth Parkway Suite 120, Hiram, GA 30141 | 2013-04-11 |
| 1619280278 | Thomas Wayne Bloodworth | Obstetrics & Gynecology | 6794 Bill Carruth Parkway, Hiram, GA 30141 | 2010-07-23 |
| 1487970026 | Madelynn Lorraine Speach | Counselor | 44 Darbys Crossing Dr Ste 206c, Hiram, GA 30141 | 2010-04-07 |
| 1679760433 | We Care Md, P.C. | Family Medicine | 5610 Wendy Bagwell Parkway, Suite 103, Hiram, GA 30141 | 2007-09-26 |
| 1811188121 | Holly L Watson | Nurse Practitioner | 156 Hiram Drive, Building B, Hiram, GA 30141 | 2007-08-05 |
| 1285842799 | Restoration Physical Therapy, LLC. | Clinic/Center | 5077 Jimmy Lee Smith Pkwy, Suite 119, Hiram, GA 30141 | 2007-05-18 |
| Find all providers in zip 30141 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901027 | Get - Well Medical Supply | Durable Medical Equipment & Medical Supplies | 5604 Wendy Bagwell Pkwy Ste 322, Hiram, GA 30141-7814 | 2020-10-28 |
| 1073138699 | Adl Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 3595 Hiram Douglasville Hwy Ste 214, Hiram, GA 30141-4963 | 2020-06-09 |
| 1972997732 | Marietta Eye Optical Inc | Durable Medical Equipment & Medical Supplies | 47 Highland Pavilion Court, Suite 101, Hiram, GA 30141-8934 | 2015-03-19 |
| 1659684959 | Blue Wave Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 388 Baywood Way, Hiram, GA 30141-4122 | 2010-07-15 |
| 1053479956 | Pak Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5745 Wendy Bagwell Pkwy Ste 32, Hiram, GA 30141-2885 | 2006-12-04 |
| 1245339423 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 4442 Jimmy Lee Smith Parkway, Hiram, GA 30141-2724 | 2006-09-22 |
| 1134141922 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5220 Jimmy Lee Smith Pkwy Ste 118, Hiram, GA 30141-2780 | 2006-07-24 |
| 1639196975 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4798 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2729 | 2006-07-16 |
| 1467975276 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4442 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2724 | 2017-07-24 |
| 1790951788 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 148 Bill Carruth Pkwy, Suite 260, Hiram, GA 30141-3754 | 2008-04-30 |
| Find all providers in HIRAM | ||||
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| 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.