NORTHWEST GEORGIA ONCOLOGY CENTERS, PC (NPI# 1700914926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700914926 |
Entity Type | Organization |
Organization Name | NORTHWEST GEORGIA ONCOLOGY CENTERS, PC |
Practice Address |
200 Allen Memorial Dr Ste 302-b Bremen GA 30110-2012 |
Mailing Address |
1700 Hospital South Dr Suite 200 Austell GA 30106-6810 |
Practice Telephone | 7708242222 |
Practice Fax Number | 7708242426 |
Mailing Telephone | 7709442830 |
Mailing Fax Number | 6785817170 |
Enumeration Date | 2007-03-01 |
Last Update Date | 2010-12-06 |
Authorized Official Name | DR. BRUCE J. GOULD (MD PHYSICIAN) |
Authorized Official Telephone | 7702815100 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 074178000 | GA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | SUPPLIER NPI NUMBER (BREMEN) | 1700914926 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154864841 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 2500 Hospital Boulevard, Suite 490, Roswell, GA 30076-4907 | 2016-11-29 |
1790951788 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 148 Bill Carruth Pkwy, Suite 260, Hiram, GA 30141-3754 | 2008-04-30 |
1790813749 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 6002 Professional Pkwy, Ste 220, Douglasville, GA 30134-5600 | 2007-03-01 |
1124156310 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 157 Clinic Ave, Ste 101, Carrollton, GA 30117-4454 | 2007-03-01 |
1992833941 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 15 Reinhardt College Pkwy, Suite 110, Canton, GA 30114-2493 | 2007-03-01 |
1083742175 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 100 Market Place Blvd, Ste 200, Cartersville, GA 30121-8718 | 2007-03-01 |
1801924857 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 620 J L White Dr, Ste 100, Jasper, GA 30143-4896 | 2007-03-01 |
1700914751 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 340 Kennestone Hospital Blvd, Ste 200, Marietta, GA 30060-1152 | 2007-03-01 |
1619005667 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 705 Dallas Hwy, Ste 205, Villa Rica, GA 30180-1247 | 2007-03-01 |
1588792881 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 1700 Hospital South Dr, Suite 300, Austell, GA 30106-6810 | 2007-03-01 |
Street Address |
200 ALLEN MEMORIAL DR STE 302-B |
City | BREMEN |
State | GA |
Zip Code | 30110-2012 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194712083 | Tmc/higgins General Hospital | General Acute Care Hospital | 200 Allen Memorial Dr, Bremen, GA 30110-2012 | 2005-10-05 |
1497281133 | Cantrell Lake Inpatient Services LLC | Physician Assistant | 200 Allen Memorial Dr, Bremen, GA 30110-2012 | 2017-05-01 |
1134592918 | Daybreak Emergency Physicians, LLC | Physician Assistant | 200 Allen Memorial Dr, Bremen, GA 30110-2012 | 2015-11-03 |
1700259538 | Advantus Emergency Physicians, LLC | Physician Assistant | 200 Allen Memorial Dr, Bremen, GA 30110-2012 | 2015-11-02 |
1548409097 | Crystal Harris Lovvorn | Physician Assistant | 200 Allen Memorial Dr, Bremen, GA 30110-2012 | 2009-02-06 |
1851569560 | Georgia Em-i Medical Services, PC | Emergency Medicine | 200 Allen Memorial Dr, Bremen, GA 30110-2012 | 2008-02-15 |
1952413452 | Sheila Best | Emergency Medicine | 200 Allen Memorial Dr, Bremen, GA 30110-2012 | 2006-08-31 |
1568492403 | Robert Andrew Patrick | Nurse Anesthetist, Certified Registered | 200 Allen Memorial Dr, Bremen, GA 30110-2012 | 2006-07-04 |
1164458832 | Independence Emergency Physicians LLC | Emergency Medicine | 200 Allen Memorial Dr, Emergency Department, Bremen, GA 30110-2012 | 2006-06-24 |
1629019336 | Kevin Garvey | Nurse Anesthetist, Certified Registered | 200 Allen Memorial Dr, Bremen, GA 30110-2012 | 2006-06-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811596646 | Bhg Lxvi, LLC | Clinic/Center | 1021 Alabama Avenue, Bremen, GA 30110 | 2020-10-22 |
1013466788 | Jodi Elizabeth Walker | Speech-Language Pathologist | 35 Shelnutt Dr, Bremen, GA 30110 | 2016-09-23 |
1396927539 | Candace Kay Heard | Pharmacist | 240 Tallapoosa St, Bremen, GA 30110 | 2007-11-29 |
1871781476 | Allison Kimball Key | Family Medicine | Po Box 728, 222 Gordon Street, Bremen, GA 30110 | 2007-10-09 |
1013041706 | Haralson County Board of Health | Day Training, Developmentally Disabled Services | 1449 Cashtown Road, Bremen, GA 30110 | 2007-03-15 |
1942343892 | Haralson County Board of Health | Community/Behavioral Health | 1449 Temple Road, Bremen, GA 30110 | 2007-02-14 |
1649332008 | Anna Christine Jones | Nurse Practitioner | 101 Tom Murphy Industrial Blvd, Bremen, GA 30110 | 2006-12-14 |
1063584324 | Regina Lorren Holloway | Allergy & Immunology | 308 Carrollton Street, Bremen, GA 30110 | 2006-11-14 |
1285725887 | Daniel E Mcbrayer | Specialist | 306 Laurel St Ste C, Bremen, GA 30110 | 2006-09-27 |
1881795086 | William Robert Lovvorn | Pharmacist | 240 Tallapoosa Street E, Lovvorn Pharmacy, Bremen, GA 30110 | 2006-09-26 |
Find all providers in zip 30110 |
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 |
---|---|---|---|---|
1184863532 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 201 Pacific Ave, Bremen, GA 30110-2044 | 2009-02-09 |
1720175342 | Jones and Clayton Drugs, Inc | Durable Medical Equipment & Medical Supplies | 116 Buchanan St N, Bremen, GA 30110-1606 | 2006-10-06 |
1417050253 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 206 Alabama Ave S, Bremen, GA 30110-2002 | 2006-09-07 |
1639197106 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 404 Hwy 27 N Byp, Bremen, GA 30110-1950 | 2006-07-17 |
1356745657 | Allied Physicians of Michiana, LLC | Durable Medical Equipment & Medical Supplies | 1120 W South St, Bremen, IN 46506-1849 | 2014-10-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073114427 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 3479 Highway 81 East, Mcdonough, GA 30252 | 2020-11-03 |
1952901027 | Get - Well Medical Supply | Durable Medical Equipment & Medical Supplies | 5604 Wendy Bagwell Pkwy Ste 322, Hiram, GA 30141-7814 | 2020-10-28 |
1407455462 | Extending A Hand Home Care | Durable Medical Equipment & Medical Supplies | 207 Mill Ln, Tennille, GA 31089-4308 | 2020-10-21 |
1609475565 | Tonika Tchampo | Durable Medical Equipment & Medical Supplies | 8050 Taylor Rd Apt 1101, Riverdale, GA 30274-4392 | 2020-10-21 |
1629685649 | Rec Leasing LLC | Durable Medical Equipment & Medical Supplies | 6842 Roy Rd, Ellijay, GA 30536-6468 | 2020-09-24 |
1659986776 | Carmichael Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 2950 Cherokee St Nw Ste 620, Kennesaw, GA 30144-6505 | 2020-09-15 |
1699380030 | Capstone Hme Inc | Durable Medical Equipment & Medical Supplies | 1129 Mente Dr, Savannah, GA 31415-3104 | 2020-09-12 |
1740895580 | Home Delivery Incontinent Supplies Co Inc | Durable Medical Equipment & Medical Supplies | 801 Broad St Ste 602, Augusta, GA 30901-1227 | 2020-09-09 |
1821602202 | Mcgarity Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 3081 Stone Mountain St Ste A, Lithonia, GA 30058-4426 | 2020-09-03 |
1265044150 | Getwell Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 310 Glynn St N Ste B401, Fayetteville, GA 30214-1105 | 2020-08-20 |
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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.