NORTHWEST GEORGIA ONCOLOGY CENTERS, PC


Address: 200 Allen Memorial Dr, Ste 302-b, Bremen, GA 30110-2012
Phone: 7708242222

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies 074178000 GA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
GA SUPPLIER NPI NUMBER (BREMEN) 1700914926 01

Other Provider IDs and Locations

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

Office Location

Street Address 200 ALLEN MEMORIAL DR
STE 302-B
City BREMEN
State GA
Zip Code 30110-2012

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

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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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Competitor

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City BREMEN
Zip Code 30110

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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