GEORGIA CANCER SPECIALISTS I PC


Address: 246 Odell Road, Suite 4, Griffin, GA 30224-4880
Phone: 7702282324

GEORGIA CANCER SPECIALISTS I PC (NPI# 1811075252) 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) 1811075252
Entity Type Organization
Organization Name GEORGIA CANCER SPECIALISTS I PC
Practice Address 246 Odell Road
Suite 4
Griffin
GA 30224-4880
Mailing Address 1835 Savoy Dr
Suite 300
Atlanta
GA 30341-1072
Practice Telephone 7702282324
Practice Fax Number 7702287562
Mailing Telephone 7704953396
Mailing Fax Number 7704952307
Enumeration Date 2006-11-02
Last Update Date 2008-02-20
Authorized Official Name ANNIE KANE (MANAGED CARE ENROLLMENT COORDINATOR)
Authorized Official Telephone 7704953396
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
GA Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1396953386 Georgia Cancer Specialists I PC Internal Medicine 4750 Battlefield Parkway, Ringgold, GA 30736-5164 2007-05-21
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
1336375344 Georgia Cancer Specialists I PC Internal Medicine 20 Francis Way, Suite 130, Sharpsburg, GA 30277-3589 2009-06-04

Office Location

Street Address 246 ODELL ROAD
SUITE 4
City GRIFFIN
State GA
Zip Code 30224-4880

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346888971 Latamika Renee Williams Counselor 1710 Ga-16 West, #6, Griffin, GA 30224 2019-12-13
1063062651 Dominique S Paul-thompson Contractor 112 Deercreek Parkway, Griffin, GA 30224 2019-09-16
1497303531 Xiaohui Zhang Brotzge Physician Assistant 601 S 8th Street, Griffin, GA 30224 2019-09-02
1548812282 Andrew Dennis Nesmith Registered Nurse 601 South 8th St, Emergency Room, Griffin, GA 30224 2019-07-12
1073009122 Alicia Skye Ledford Nurse Practitioner 619 S 8th St., Suite 200, Griffin, GA 30224 2018-07-02
1649787102 Judith Fuajong Ngulefac Nurse Practitioner 1705 Williamson Rd, Griffin, GA 30224 2018-01-05
1699297077 Amanda Norman Speech-Language Pathologist 106 Garnet Ln, Griffin, GA 30224 2017-07-07
1306214655 Ruchi P Gandhi Optometrist 646 8th Street, Griffin, GA 30224 2015-09-03
1528473881 Nnenna Ezeilo Otolaryngology 619 S 8th St Ste 304, Griffin, GA 30224 2014-06-25
1437436094 C. B. Reddy Md PC Preferred Provider Organization 610 S 8th Street, Suite F, Griffin, GA 30224 2011-11-10
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447313085 Ayman Salah Al-hakim Internal Medicine 747 S. 8th Street, Suite C, Griffin, GA 30224-4880 2006-12-18
1720169386 Glen P Morehead Internal Medicine 230 W College St Ste D, Griffin, GA 30224-4249 2006-10-18
1669584447 Rao S. Moravineni Internal Medicine 747 South 8th Street, Suite C, Griffin, GA 30224-4880 2006-08-31
1720078173 Pravin Chimanlal Mehta Internal Medicine 230d W College St, Griffin, GA 30224-4121 2005-10-26
1508977109 Glen P Morehead Md PC Internal Medicine 230d W College St, Griffin, GA 30224-4121 2006-08-31

Providers in the same taxonomy and state

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
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Competitor

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City GRIFFIN
Zip Code 30224

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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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