MIDDLE GEORGIA ONCOLOGY, LLC (NPI# 1336256981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336256981 |
Entity Type | Organization |
Organization Name | MIDDLE GEORGIA ONCOLOGY, LLC |
Practice Address |
107 Fairview Park Dr Dublin GA 31021-2501 |
Practice Telephone | 4782729889 |
Practice Fax Number | 4782729821 |
Mailing Telephone | 4782729889 |
Mailing Fax Number | 4782729821 |
Enumeration Date | 2006-08-23 |
Last Update Date | 2020-08-22 |
Authorized Official Name | BRENDA ANN CARROLL (MANAGER) |
Authorized Official Telephone | 4782729889 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
Street Address |
107 FAIRVIEW PARK DR |
City | DUBLIN |
State | GA |
Zip Code | 31021-2501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992795876 | Jorge B Pisarello | Internal Medicine | 107 Fairview Park Dr, Dublin, GA 31021-2501 | 2005-10-24 |
1467990374 | Yashica Austin | Nurse Practitioner | 107 Fairview Park Dr, Dublin, GA 31021-2501 | 2017-02-11 |
1336378892 | Community Health Care Systems, Inc. | Clinic/Center | 107 Fairview Park Dr, Dublin, GA 31021 | 2009-07-06 |
1366658734 | Charles E Jackson Jr. | Family Medicine | 107 Fairview Park Dr, Dublin, GA 31021-2501 | 2007-05-15 |
1265549893 | Dublin Nephrology Associates LLC | Internal Medicine | 107 Fairview Park Dr, Dublin, GA 31021-2501 | 2006-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
Find all providers in zip 31021 |
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 |
---|---|---|---|---|
1144664251 | Cancer Center of Middle Georgia, LLC | Internal Medicine | 2400 Bellevue Road, Suite 26 Erin Office Park, Dublin, GA 31021-2989 | 2013-04-19 |
1336477934 | Satilla Cancer Treatment Centers, LLC | Internal Medicine | 2406 Bellevue Avenue, #7, Dublin, GA 31021-0000 | 2009-11-20 |
1033349485 | Bao Duy Dao | Internal Medicine | 6380 Clark Ave, Dublin, CA 94568-3036 | 2009-07-20 |
1962679753 | Amanpreet Buttar | Internal Medicine | 6380 Clark Ave, Dublin, CA 94568-3036 | 2008-05-12 |
1447447933 | Harsha Vyas | Internal Medicine | 2400 Bellevue Rd, Suite 26 Erin Office Park, Dublin, GA 31021-2885 | 2007-09-27 |
1225168248 | Sandra Hollander | Internal Medicine | 207 Fairview Park Dr, Dublin, GA 31021-2550 | 2007-03-07 |
1154330090 | Arvind Kumar Aggarwal | Internal Medicine | 2400 Bellevue Rd, Suite 26 Erin Office Park, Dublin, GA 31021-2885 | 2006-08-07 |
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 |
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 |
1770722431 | Satilla Regional Cancer Treatment Center | Internal Medicine | 101 Seymour Ave, Douglas, GA 31533-1917 | 2009-02-19 |
1548410400 | Ali M. Sayed | Internal Medicine | 125 King Ave Ste 200, Athens, GA 30606-6710 | 2008-09-26 |
1841440856 | More Than Ready Company LLC | Internal Medicine | 5456 Peachtree Industrial Blvd # 636, Atlanta, GA 30341-2235 | 2008-09-26 |
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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.