NORTHWEST GEORGIA ONCOLOGY CENTERS, PC (NPI# 1083742175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083742175 |
| Entity Type | Organization |
| Organization Name | NORTHWEST GEORGIA ONCOLOGY CENTERS, PC |
| Practice Address |
100 Market Place Blvd Ste 200 Cartersville GA 30121-8718 |
| Mailing Address |
1700 Hospital South Dr Suite 300 Austell GA 30106-6810 |
| Practice Telephone | 7703867253 |
| Practice Fax Number | 7703826424 |
| Mailing Telephone | 7709442830 |
| Mailing Fax Number | 6785817170 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2010-12-01 |
| Authorized Official Name | DR. BRUCE J GOULD (MD PHYSICIAN) |
| Authorized Official Telephone | 7702815100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 0741780004 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NPI SUPPLIER NUMBER (CARTERSVILLE) | 1083742175 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154864841 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 2500 Hospital Boulevard, Suite 490, Roswell, GA 30076-4907 | 2016-11-29 |
| 1790951788 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 148 Bill Carruth Pkwy, Suite 260, Hiram, GA 30141-3754 | 2008-04-30 |
| 1700914926 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 200 Allen Memorial Dr, Ste 302-b, Bremen, GA 30110-2012 | 2007-03-01 |
| 1790813749 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 6002 Professional Pkwy, Ste 220, Douglasville, GA 30134-5600 | 2007-03-01 |
| 1124156310 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 157 Clinic Ave, Ste 101, Carrollton, GA 30117-4454 | 2007-03-01 |
| 1992833941 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 15 Reinhardt College Pkwy, Suite 110, Canton, GA 30114-2493 | 2007-03-01 |
| 1801924857 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 620 J L White Dr, Ste 100, Jasper, GA 30143-4896 | 2007-03-01 |
| 1700914751 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 340 Kennestone Hospital Blvd, Ste 200, Marietta, GA 30060-1152 | 2007-03-01 |
| 1619005667 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 705 Dallas Hwy, Ste 205, Villa Rica, GA 30180-1247 | 2007-03-01 |
| 1588792881 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 1700 Hospital South Dr, Suite 300, Austell, GA 30106-6810 | 2007-03-01 |
| Street Address |
100 MARKET PLACE BLVD STE 200 |
| City | CARTERSVILLE |
| State | GA |
| Zip Code | 30121-8718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437155777 | James 'keith' Rice | Physician Assistant | 100 Market Place Blvd, Suite 200, Cartersville, GA 30121-8718 | 2005-06-22 |
| 1255882742 | Robert Joel Harris | Counselor | 100 Market Place Blvd, Suite 302, Cartersville, GA 30121-8718 | 2016-10-19 |
| 1760849095 | Radiation Oncology of Georgia LLC | Radiology | 100 Market Place Blvd, Cartersville, GA 30121-8718 | 2016-01-17 |
| 1356716724 | Jetalkumar Patel | Pharmacist | 100 Market Place Blvd, Cartersville, GA 30121-8718 | 2015-12-10 |
| 1871900266 | Stephanie Cordell Morgan | Nurse Practitioner | 100 Market Place Blvd, Suite 201, Cartersville, GA 30121-8718 | 2014-07-17 |
| 1720348188 | Marcia C Hennessey | Counselor | 100 Market Place Blvd, Suite 201, Cartersville, GA 30121-8718 | 2012-05-20 |
| 1609174093 | Jesse Q. Martin | Physician Assistant | 100 Market Place Blvd, Suite 200, Cartersville, GA 30121-8718 | 2011-03-09 |
| 1316183320 | Rocio Cristina Rauber | Physician Assistant | 100 Market Place Blvd, Suite 201, Cartersville, GA 30121-8718 | 2008-12-22 |
| 1962671347 | East Cobb Cardiology LLC | Specialist | 100 Market Place Blvd, Suite 300, Cartersville, GA 30121-8717 | 2008-02-29 |
| 1578755351 | Center for Infectious Diseases LLC | Specialist | 100 Market Place Blvd, Suite 207, Cartersville, GA 30121-8718 | 2007-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639700065 | Emilee Mcdonald Thomas | Pharmacist | 125 E Main Street Marketplace, Cartersville, GA 30121 | 2020-02-04 |
| 1245750249 | Gina Marie Hoosline | Contractor | 38 Roving Rd Se, Cartersville, GA 30121 | 2017-06-21 |
| 1730634239 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 125 E Main St Se, Cartersville, GA 30121 | 2016-08-25 |
| 1811340797 | Pt Solutions of Acworth LLC | Physical Therapist | 261 Stars Way, Cartersville, GA 30121 | 2016-07-15 |
| 1053572172 | Helen Clair Medlin | Nurse Practitioner | 255 Prosperity Way Ne, Adairsville, GA 30121 | 2008-06-20 |
| 1669539508 | The Healthcaring Clinic of Georgia, LLC | Nurse Practitioner | 491 East Main St., Cartersville, GA 30121 | 2007-01-02 |
| 1275636334 | Medicine Stop Pharmacy | Pharmacy | 117 S Tennessee St, Cartersville, GA 30121 | 2006-09-06 |
| 1750494423 | Georgia Pain Spine Center | Clinic/Center | 15 Medical Drive, Suite 302, Cartersville, GA 30121 | 2006-08-16 |
| 1932138716 | Cartersville Diagnostic Center | Clinic/Center | 21 Pointe North Drive, Suite 105, Cartersville, GA 30121 | 2006-07-02 |
| 1689663825 | Howard Jamie Williams | Physician Assistant | 15 Medical Dr Ne Ste 101, Cartersville, GA 30121 | 2005-10-20 |
| Find all providers in zip 30121 | ||||
| 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 |
|---|---|---|---|---|
| 1730634239 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 125 E Main St Se, Cartersville, GA 30121 | 2016-08-25 |
| 1972950293 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 15 Heatco Ct Sw Ste A, Cartersville, GA 30120-1804 | 2016-05-17 |
| 1740677525 | Lacey Drug Company, Inc | Durable Medical Equipment & Medical Supplies | 236 N Dixie Ave, Cartersville, GA 30120-2934 | 2015-04-20 |
| 1396139945 | Ddsdream,llc | Durable Medical Equipment & Medical Supplies | 112 Merchants Square Dr, Cartersville, GA 30121-2258 | 2015-03-21 |
| 1962840967 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 101 N Tennessee St, Cartersville, GA 30120-3211 | 2013-06-12 |
| 1427388453 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 965 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2130 | 2010-01-14 |
| 1518296318 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1162 West Ave., Cartersville, GA 30120-6138 | 2009-12-08 |
| 1588842686 | North Ga Podiatric Medicine and Surgery | Durable Medical Equipment & Medical Supplies | 958a Joe Frank Harris Pkwy Se Ste 106, Cartersville, GA 30120-2129 | 2008-01-31 |
| 1619188968 | Eyeworks | Durable Medical Equipment & Medical Supplies | 837 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2462 | 2007-05-25 |
| 1295807923 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 17 Felton Pl Ste B, Cartersville, GA 30120-2153 | 2006-11-15 |
| Find all providers in CARTERSVILLE | ||||
| City | CARTERSVILLE |
| Zip Code | 30121 |
Please comment or provide details below to improve the information on NORTHWEST GEORGIA ONCOLOGY CENTERS, PC.
| 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.