NSH CANCER INSTITUTE PROFESSIONAL SERVICES A LLC (NPI# 1750631792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750631792 |
| Entity Type | Organization |
| Organization Name | NSH CANCER INSTITUTE PROFESSIONAL SERVICES A LLC |
| Other Organization Name | NSH CIPS A |
| Practice Address |
2545 Lawrenceville Hwy Suite 100 Decatur GA 30033-3239 |
| Mailing Address |
1100 Johnson Ferry Rd Ne Center Ponte I, Suite 510 Atlanta GA 30342-1709 |
| Practice Telephone | 4043211950 |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2014-01-23 |
| 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 A | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306197462 | Nsh Cancer Institute Professional Services A LLC | Durable Medical Equipment & Medical Supplies | 3400 Old Milton Pkwy # C, Suite 400, Alpharetta, GA 30005-3707 | 2012-09-28 |
| 1689925745 | Nsh Cancer Institute Professional Services A LLC | Durable Medical Equipment & Medical Supplies | 1505 Northside Blvd, Suite 4600, Cumming, GA 30041-7623 | 2012-09-28 |
| 1497006555 | Nsh Cancer Institute Professional Services A LLC | Durable Medical Equipment & Medical Supplies | 5670 Peachtree Dunwoody Rd Ne, Suite 1100, Atlanta, GA 30342-1699 | 2012-09-28 |
| 1215288378 | Nsh Cancer Institute Professional Services A LLC | Pharmacy | 5670 Peachtree Dunwoody Rd Ne, Suite 1100, Atlanta, GA 30342-1699 | 2012-09-28 |
| 1497006639 | Nsh Cancer Institute Professional Services A LLC | Durable Medical Equipment & Medical Supplies | 7813 Spivey Station Blvd, Suite 210, Jonesboro, GA 30236-2900 | 2012-09-27 |
| 1912257957 | Nsh Cancer Institute Professional Services A LLC | Durable Medical Equipment & Medical Supplies | 1498 Klondike Rd Sw, Suite 106, Conyers, GA 30094-5169 | 2012-09-18 |
| Street Address |
2545 LAWRENCEVILLE HWY SUITE 100 |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-3239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972594539 | Arthur Green | Internal Medicine | 2545 Lawrenceville Hwy, Suite 200, Decatur, GA 30033-3240 | 2005-11-02 |
| 1578010732 | Tara Doleman | Pharmacist | 2545 Lawrenceville Hwy, Decatur, GA 30033-3239 | 2016-09-06 |
| 1770976243 | Valerie Hauser | Physical Therapist | 2545 Lawrenceville Hwy, Suite 100, Decatur, GA 30033-3239 | 2015-03-09 |
| 1821422668 | Sasha T Stolz | Chiropractor | 2545 Lawrenceville Hwy, Ste 100, Decatur, GA 30033-3239 | 2013-08-28 |
| 1568737849 | Myofascial Physiocare LLC | Physical Therapist | 2545 Lawrenceville Hwy, Suite 100, Decatur, GA 30033-3239 | 2012-03-20 |
| 1770878704 | Stephen G Lascala | Chiropractor | 2545 Lawrenceville Hwy, Suite 100, Decatur, GA 30033-3239 | 2011-06-17 |
| 1679877328 | Joy Shantel Broyles | Physician Assistant | 2545 Lawrenceville Hwy, Ste 300, Decatur, GA 30033-3239 | 2011-01-10 |
| 1174772701 | Byeonghong Cho | Chiropractor | 2545 Lawrenceville Hwy, Suite 100, Decatur, GA 30033-3239 | 2008-09-18 |
| 1346401775 | Tao Chiro LLC | Clinic/Center | 2545 Lawrenceville Hwy, Suite 100, Decatur, GA 30033-3239 | 2008-06-18 |
| 1770611451 | Jane Ellen Dinerman | Chiropractor | 2545 Lawrenceville Hwy, 100, Decatur, GA 30033-3239 | 2007-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| 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 |
|---|---|---|---|---|
| 1720547532 | Unique Visions LLC | Durable Medical Equipment & Medical Supplies | 2948 Laguna Dr, Decatur, GA 30032-3526 | 2019-03-19 |
| 1164915427 | Premium Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3011 Rainbow Dr Ste 303, Decatur, GA 30034-1681 | 2018-06-12 |
| 1396241535 | Gre Days Corp | Durable Medical Equipment & Medical Supplies | 3013 Rainbow Dr Ste 124, Decatur, GA 30034-1644 | 2018-04-05 |
| 1144733072 | Legacy Compounding Inc | Durable Medical Equipment & Medical Supplies | 2422 Danville Rd Sw Ste H, Decatur, AL 35603-4221 | 2017-11-14 |
| 1063924397 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 2934 Point Mallard Pkwy Se, Decatur, AL 35603-5700 | 2017-10-26 |
| 1689186199 | Georgia Pain and Wellness Center | Durable Medical Equipment & Medical Supplies | 484 Irvin Ct Ste 110, Decatur, GA 30030-5406 | 2017-10-25 |
| 1558887497 | Decatur Medical Supplies | Durable Medical Equipment & Medical Supplies | 2107 N Decatur Rd Unit 832, Decatur, GA 30033-5305 | 2017-08-22 |
| 1972027456 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4855 Flat Shoals Pkwy, Decatur, GA 30034-5208 | 2017-07-27 |
| 1508304411 | Comfort Medical Supplies | Durable Medical Equipment & Medical Supplies | 5055 Miller Woods Dr, Decatur, GA 30035-3751 | 2017-02-10 |
| 1225493851 | Pain Rehab Equipment | Durable Medical Equipment & Medical Supplies | 220 Ponce De Leon Pl, 172, Decatur, GA 30030-3233 | 2015-12-26 |
| Find all providers in DECATUR | ||||
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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.