NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC (NPI# 1568713634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568713634 |
| Entity Type | Organization |
| Organization Name | NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC |
| Other Organization Name | NSH CIPS G |
| Practice Address |
1045 Southcrest Dr Suite 200 Stockbridge GA 30281-6113 |
| Mailing Address |
1835 Savoy Dr Suite 300 Atlanta GA 30341-1072 |
| Practice Telephone | 6782890549 |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-12-28 |
| Authorized Official Name | JORGE J 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 |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| NSH CIPS G | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003167172 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 159 Enterprise Path, Suite 503, Hiram, GA 30141-7600 | 2012-09-28 |
| 1992058903 | Nsh Cancer Institute Professional Services G LLC | Pharmacy | 308 Coliseum Dr, Suite 120, Macon, GA 31217-3865 | 2012-10-16 |
| 1194076265 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 1668 Mulkey Rd, Suite A, Austell, GA 30106-1143 | 2012-09-28 |
| 1760733836 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 1100 Johnson Ferry Rd Ne, Suite 600, Atlanta, GA 30342-1709 | 2012-09-28 |
| 1679824742 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 790 Church St Ne, Suite 335, Marietta, GA 30060-7282 | 2012-09-28 |
| 1477804540 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 6300 Hospital Pkwy, Suite 300, Johns Creek, GA 30097-1828 | 2012-09-28 |
| 1821349994 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 320 Parkway Dr Ne, Suite 208, Atlanta, GA 30312-1213 | 2012-09-28 |
| 1801147970 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 747 S. 8th Street, Suite C, Griffin, GA 30224-4880 | 2012-09-28 |
| 1710238886 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 624 W Martin Luther King Jr Dr, Milledgeville, GA 31061-2787 | 2012-09-28 |
| 1629329792 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 101 Riverstone Vis, Suite 102, Blue Ridge, GA 30513-6648 | 2012-09-28 |
| Street Address |
1045 SOUTHCREST DR SUITE 200 |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-6113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861485914 | Georgia Pediatric Cardiology | Pediatrics | 1045 Southcrest Dr, Ste 220, Stockbridge, GA 30281-6113 | 2005-08-24 |
| 1386181089 | Tina M. Grall | Nurse Practitioner | 1045 Southcrest Dr, Suite 200, Stockbridge, GA 30281-6113 | 2017-01-20 |
| 1457485682 | Sheila D Blake | Nurse Practitioner | 1045 Southcrest Dr, Suite 110, Stockbridge, GA 30281-6113 | 2007-03-16 |
| 1134251200 | Bijal B. Parikh | Physician Assistant | 1045 Southcrest Dr, Suite 200, Stockbridge, GA 30281-6113 | 2007-03-12 |
| 1720117989 | Kids First Pediatric Group, LLC | Pediatrics | 1045 Southcrest Dr, Suite 110, Stockbridge, GA 30281-6113 | 2007-03-05 |
| 1609893072 | Ruth R. Sarmiento | Internal Medicine | 1045 Southcrest Dr, Ste. 200, Stockbridge, GA 30281-6113 | 2006-07-16 |
| 1164465985 | Nicola C Chin | Pediatrics | 1045 Southcrest Dr, Ste 110, Stockbridge, GA 30281 | 2006-06-13 |
| 1831132646 | Elaine C Youngblood | Pediatrics | 1045 Southcrest Dr, Ste 110, Stockbridge, GA 30281 | 2006-06-13 |
| 1700838273 | Serge Geffrard | Specialist | 1045 Southcrest Dr, Ste 220, Stockbridge, GA 30281-6113 | 2006-05-16 |
| 1932158383 | Wanda J Williams | Pediatrics | 1045 Southcrest Dr, Ste 110, Stockbridge, GA 30281 | 2006-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| 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 |
|---|---|---|---|---|
| 1487294922 | Quatisha Ashley Tedford | Durable Medical Equipment & Medical Supplies | 103 Stockview Ter, Stockbridge, GA 30281-3317 | 2020-01-13 |
| 1083091177 | Coolshirt Systems, LLC | Durable Medical Equipment & Medical Supplies | 170 Andrew Dr, Stockbridge, GA 30281-6367 | 2015-04-28 |
| 1992971071 | Quality In Life, Inc. | Durable Medical Equipment & Medical Supplies | 802 Silverbell Ct, Stockbridge, GA 30281-6319 | 2008-05-07 |
| 1720266067 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 1375 Rock Quarry Rd, Magestic Center, Ste 103 & 104, Stockbridge, GA 30281-7677 | 2008-02-08 |
| 1831391077 | Sheer Vision Center LLC | Durable Medical Equipment & Medical Supplies | 255 Corporate Center Dr, Suite D, Stockbridge, GA 30281-7376 | 2007-06-01 |
| 1235269390 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 135 Medical Blvd, Stockbridge, GA 30281-5083 | 2007-03-07 |
| 1851459515 | Excel Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 151 N Park Trl, #a, Stockbridge, GA 30281-7373 | 2006-12-05 |
| 1023180759 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 1040 Eagles Landing Pkwy Ste 101, Stockbridge, GA 30281-9073 | 2006-11-15 |
| 1356427132 | Mobility Warehouse | Durable Medical Equipment & Medical Supplies | 106 Rock Quarry Rd Ste E, Stockbridge, GA 30281-3766 | 2006-10-27 |
| 1154420339 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 440 Country Club Drive, Stockbridge, GA 30281-7341 | 2006-09-22 |
| Find all providers in STOCKBRIDGE | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
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.