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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
GA | Allopathic & Osteopathic Physicians |
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 |
Street Address |
246 ODELL ROAD SUITE 4 |
City | GRIFFIN |
State | GA |
Zip Code | 30224-4880 |
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 |
Find all providers in zip 30224 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
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 |
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 |
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 |
Find all providers with the same taxonomy |
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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.