GEORGIA CANCER SPECIALISTS I PC (NPI# 1487660759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487660759 |
| Entity Type | Organization |
| Organization Name | GEORGIA CANCER SPECIALISTS I PC |
| Practice Address |
705 Dallas Highway Suite 201 Villa Rica GA 30180-1247 |
| Mailing Address |
1835 Savoy Dr Suite 300 Atlanta GA 30341-1072 |
| Practice Telephone | 7704597132 |
| Practice Fax Number | 7704596786 |
| Mailing Telephone | 7704953396 |
| Mailing Fax Number | 7704952307 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2008-02-20 |
| Authorized Official Name | DR. WENDY HAWKE (C.O.O.) |
| Authorized Official Telephone | 7706218656 |
| 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 |
GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396953386 | Georgia Cancer Specialists I PC | Internal Medicine | 4750 Battlefield Parkway, Ringgold, GA 30736-5164 | 2007-05-21 |
| 1811075252 | Georgia Cancer Specialists I PC | Internal Medicine | 246 Odell Road, Suite 4, Griffin, GA 30224-4880 | 2006-11-02 |
| 1447266713 | Georgia Cancer Specialists I PC | Internal Medicine | 97 Hefner Street, East Ellijay, GA 30540-8268 | 2006-07-31 |
| 1942215603 | Georgia Cancer Specialists I PC | Internal Medicine | 1800 Tree Lane, Suite 180, Snellville, GA 30078-2016 | 2006-07-30 |
| 1871508523 | Georgia Cancer Specialists I PC | Internal Medicine | 214 Perry Highway, Hawkinsville, GA 31036-1038 | 2006-07-30 |
| 1215942941 | Georgia Cancer Specialists I PC | Internal Medicine | 1501 Milstead Rd Ne, Suite 110, Conyers, GA 30012-3835 | 2006-07-30 |
| 1790790459 | Georgia Cancer Specialists I PC | Internal Medicine | 1045 Southcrest Drive, Suite 200, Stockbridge, GA 30281-6113 | 2006-07-30 |
| 1417962135 | Georgia Cancer Specialists I PC | Internal Medicine | 3330 Preston Ridge Rd., Suite 110, Alpharetta, GA 30005-3707 | 2006-07-30 |
| 1134134935 | Georgia Cancer Specialists I PC | Internal Medicine | 624 W Martin Luther King Jr Drive, Milledgeville, GA 31061-2787 | 2006-07-30 |
| 1366457228 | Georgia Cancer Specialists I PC | Internal Medicine | 228 Riverstone Drive, Canton, GA 30114 | 2006-07-29 |
| Street Address |
705 DALLAS HIGHWAY SUITE 201 |
| City | VILLA RICA |
| State | GA |
| Zip Code | 30180-1247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881667871 | Shannon L May | Nurse Practitioner | 705 Dallas Highway, Suite 101, Villa Rica, GA 30180 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174161624 | Crucible Communication Therapy LLC | Speech-Language Pathologist | 9765 Walnut Grove Trail, Villa Rica, GA 30180 | 2019-12-16 |
| 1366802845 | Medic-pearl, LLC | Ambulance | 1108 Charter Oak Ct, Villa Rica, GA 30180 | 2016-02-26 |
| 1396138368 | Josette Etienne | Nurse Practitioner | 403 Permian Way Suite A, Villa Rica, GA 30180 | 2015-03-13 |
| 1447690516 | Judith L.m. Thigpen | Nurse Practitioner | 736 Highway 78 West, Minute Clinic, Villa Rica, GA 30180 | 2013-07-03 |
| 1477890168 | Wesley Douglas Mckenzie | Pharmacist | 2500 Mirror Lake Blvd, Villa Rica, GA 30180 | 2013-01-15 |
| 1497005359 | Malika Remie Rajendra | Optometrist | 600 Hwy 61, Villa Rica, GA 30180 | 2012-09-18 |
| 1972876449 | Catherine Elaine Tyson | Pharmacist | 601 Dallas Road, Villa Rica, GA 30180 | 2012-02-14 |
| 1619262433 | Villa Rica Rx LLC | Pharmacy | 222 West Wilson Street, Villa Rica, GA 30180 | 2011-06-09 |
| 1851602874 | Jules Chopin Sybert | Nurse Practitioner | 736 W. Bankhead Hwy, Villa Rica, GA 30180 | 2010-06-24 |
| 1487984019 | Lisa Wood | Occupational Therapy Assistant | 1207 Woods Walk, Villa Rica, GA 30180 | 2010-01-04 |
| Find all providers in zip 30180 | ||||
| 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 |
|---|---|---|---|---|
| 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 | VILLA RICA |
| Zip Code | 30180 |
Please comment or provide details below to improve the information on GEORGIA CANCER SPECIALISTS I 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.