MIDDLE GEORGIA ONCOLOGY, LLC


Address: 107 Fairview Park Dr, Dublin, GA 31021-2501
Phone: 4782729889

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
Allopathic & Osteopathic Physicians

Office Location

Street Address 107 FAIRVIEW PARK DR
City DUBLIN
State GA
Zip Code 31021-2501

Providers in the same location

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

Providers in the same zip code

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
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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
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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City DUBLIN
Zip Code 31021

Improve Information

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Dataset Information

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.

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