NSH CANCER INSTITUTE PROFESSIONAL SERVICES G, LLC (NPI# 1144571381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144571381 |
| Entity Type | Organization |
| Organization Name | NSH CANCER INSTITUTE PROFESSIONAL SERVICES G, LLC |
| Other Organization Name | NSH CIPS G |
| Practice Address |
1100 Johnson Ferry Rd Ne Suite 600 Sandy Springs GA 30342-1709 |
| Mailing Address |
1835 Savoy Dr Suite 300 Atlanta GA 30341-1072 |
| Practice Telephone | 4042564777 |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-12-03 |
| Authorized Official Name | JORGE 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 |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NSH CIPS G | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609127778 | Nsh Cancer Institute Professional Services G, LLC | Durable Medical Equipment & Medical Supplies | 4586 Timber Ridge Dr, Suite 200, Douglasville, GA 30135-7517 | 2012-09-28 |
| 1891046967 | Nsh Cancer Institute Professional Services G, LLC | Durable Medical Equipment & Medical Supplies | 1000 Cowles Clinc Way, Magnolia Building, Suite M-200, Greensboro, GA 30642-5285 | 2012-09-28 |
| 1124379284 | Nsh Cancer Institute Professional Services G, LLC | Pharmacy | 1100 Johnson Ferry Rd Ne, Suite 600, Atlanta, GA 30342-1709 | 2012-09-28 |
| 1932450004 | Nsh Cancer Institute Professional Services G, LLC | Durable Medical Equipment & Medical Supplies | 1501 Milstead Rd Ne, Suite 110, Conyers, GA 30012-3838 | 2012-09-28 |
| 1649521717 | Nsh Cancer Institute Professional Services G, LLC | Durable Medical Equipment & Medical Supplies | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 | 2012-09-28 |
| 1699026831 | Nsh Cancer Institute Professional Services G, LLC | Pharmacy | 1100 Johnson Ferry Rd Ne, Suite 600, Atlanta, GA 30342-1709 | 2012-09-27 |
| Street Address |
1100 JOHNSON FERRY RD NE SUITE 600 |
| City | SANDY SPRINGS |
| State | GA |
| Zip Code | 30342-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093054280 | Thomas Lamar Mcniel IIi | Pharmacist | 1100 Johnson Ferry Rd Ne, Suite 107, Sandy Springs, GA 30342-1709 | 2013-02-07 |
| 1548585326 | Nasa Surgery Center, LLC | Clinic/Center | 1100 Johnson Ferry Rd Ne, Suite 180, Sandy Springs, GA 30342-1709 | 2010-04-05 |
| 1962657718 | Catharine Soriano | Social Worker | 1100 Johnson Ferry Rd Ne, Suite 600, Sandy Springs, GA 30342-1709 | 2008-11-20 |
| 1295740090 | Georgia Cancer Specialists I PC | Internal Medicine | 1100 Johnson Ferry Rd Ne, Center Pointe I Bldg., Suite 600, Sandy Springs, GA 30342-1709 | 2006-07-30 |
| 1326092826 | Jennifer Lynn Chicoine | Nurse Practitioner | 1100 Johnson Ferry Rd Ne, Suite 600, Sandy Springs, GA 30342-1709 | 2006-05-19 |
| 1013971753 | Atlanta Women's Health Group, P.C. | Obstetrics & Gynecology | 1100 Johnson Ferry Rd Ne, Suite 800, Sandy Springs, GA 30342-1709 | 2006-04-12 |
| 1174502124 | Laura Ellis | Nurse Practitioner | 1100 Johnson Ferry Rd Ne, Suite 600, Sandy Springs, GA 30342-1709 | 2006-01-10 |
| 1487632048 | Mansoor N Saleh | Internal Medicine | 1100 Johnson Ferry Rd Ne, Suite 600, Sandy Springs, GA 30342-1709 | 2006-01-04 |
| 1295713071 | Janice A Galleshaw | Internal Medicine | 1100 Johnson Ferry Rd Ne, Suite 600, Sandy Springs, GA 30342-1709 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053431577 | Robert L. Stahl | Internal Medicine | 525 Riverside Pkwy Nw, Sandy Springs, GA 30328-3744 | 2007-03-29 |
| 1295740090 | Georgia Cancer Specialists I PC | Internal Medicine | 1100 Johnson Ferry Rd Ne, Center Pointe I Bldg., Suite 600, Sandy Springs, GA 30342-1709 | 2006-07-30 |
| 1487632048 | Mansoor N Saleh | Internal Medicine | 1100 Johnson Ferry Rd Ne, Suite 600, Sandy Springs, GA 30342-1709 | 2006-01-04 |
| 1295713071 | Janice A Galleshaw | Internal Medicine | 1100 Johnson Ferry Rd Ne, Suite 600, Sandy Springs, GA 30342-1709 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212553 | Tennessee Oncology, Pllc | Internal Medicine | 4645 Battlefield Pkwy, Ringgold, GA 30736-8011 | 2020-07-09 |
| 1265077234 | Hannah Alexis Tunks | Internal Medicine | 1504 N Thornton Ave Ste 102, Dalton, GA 30720-8394 | 2019-11-13 |
| 1538669296 | Nizar Jacques J Bahlis | Internal Medicine | Winship Cancer Institute 1365 Clifton Rd Building C, Atlanta, GA 30322-0001 | 2018-02-19 |
| 1831519891 | Arelis Salas Robinson | Internal Medicine | 1700 Tree Ln Ste 490, Snellville, GA 30078-6756 | 2014-04-17 |
| 1386063964 | Harpaul Gill | Internal Medicine | 3400c Old Milton Pkwy Ste 400, Alpharetta, GA 30005-4438 | 2014-04-10 |
| 1144664251 | Cancer Center of Middle Georgia, LLC | Internal Medicine | 2400 Bellevue Road, Suite 26 Erin Office Park, Dublin, GA 31021-2989 | 2013-04-19 |
| 1942588918 | Gustavo Figueiredo Marcondes Westin | Internal Medicine | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2011-07-25 |
| 1598085193 | Mehmet Asim Bilen | Internal Medicine | Winship Cancer Institute of Emory University, 1365c Clifton Road, Atlanta, GA 30322-0001 | 2010-06-04 |
| 1336477934 | Satilla Cancer Treatment Centers, LLC | Internal Medicine | 2406 Bellevue Avenue, #7, Dublin, GA 31021-0000 | 2009-11-20 |
| 1770722431 | Satilla Regional Cancer Treatment Center | Internal Medicine | 101 Seymour Ave, Douglas, GA 31533-1917 | 2009-02-19 |
| Find all providers with the same taxonomy | ||||
| City | SANDY SPRINGS |
| Zip Code | 30342 |
Please comment or provide details below to improve the information on NSH CANCER INSTITUTE PROFESSIONAL SERVICES G, LLC.
| 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.