NSH CANCER INSTITUTE PROFESSIONAL SERVICES G, LLC (NPI# 1932450004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932450004 |
| Entity Type | Organization |
| Organization Name | NSH CANCER INSTITUTE PROFESSIONAL SERVICES G, LLC |
| Other Organization Name | NSH CIPS G |
| Practice Address |
1501 Milstead Rd Ne Suite 110 Conyers GA 30012-3838 |
| Mailing Address |
1835 Savoy Dr Suite 300 Atlanta GA 30341-1072 |
| Practice Telephone | 7707609949 |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-11-27 |
| 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 G | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609127778 | Nsh Cancer Institute Professional Services G, LLC | Durable Medical Equipment & Medical Supplies | 4586 Timber Ridge Dr, Suite 200, Douglasville, GA 30135-7517 | 2012-09-28 |
| 1891046967 | Nsh Cancer Institute Professional Services G, LLC | Durable Medical Equipment & Medical Supplies | 1000 Cowles Clinc Way, Magnolia Building, Suite M-200, Greensboro, GA 30642-5285 | 2012-09-28 |
| 1124379284 | Nsh Cancer Institute Professional Services G, LLC | Pharmacy | 1100 Johnson Ferry Rd Ne, Suite 600, Atlanta, GA 30342-1709 | 2012-09-28 |
| 1649521717 | Nsh Cancer Institute Professional Services G, LLC | Durable Medical Equipment & Medical Supplies | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 | 2012-09-28 |
| 1699026831 | Nsh Cancer Institute Professional Services G, LLC | Pharmacy | 1100 Johnson Ferry Rd Ne, Suite 600, Atlanta, GA 30342-1709 | 2012-09-27 |
| 1144571381 | Nsh Cancer Institute Professional Services G, LLC | Pharmacy | 1100 Johnson Ferry Rd Ne, Suite 600, Sandy Springs, GA 30342-1709 | 2012-09-27 |
| Street Address |
1501 MILSTEAD RD NE SUITE 110 |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-3838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215942941 | Georgia Cancer Specialists I PC | Internal Medicine | 1501 Milstead Rd Ne, Suite 110, Conyers, GA 30012-3835 | 2006-07-30 |
| 1043639545 | Meghana Bhatta Kumar | Internal Medicine | 1501 Milstead Rd Ne, Conyers, GA 30012-3838 | 2014-04-11 |
| 1720314776 | Wilder Dialysis LLC | Clinic/Center | 1501 Milstead Rd Ne, Conyers, GA 30012-3838 | 2009-10-27 |
| 1861654840 | David S Rabin | Internal Medicine | 1501 Milstead Rd Ne, Ste 120, Conyers, GA 30012-3838 | 2008-06-30 |
| 1710198577 | Sherine J Thomas | Internal Medicine | 1501 Milstead Rd Ne, Suite 110, Conyers, GA 30012-3838 | 2007-05-24 |
| 1710199831 | Nader A Dbouk | Internal Medicine | 1501 Milstead Rd Ne, Suite 120, Conyers, GA 30012 | 2007-05-03 |
| 1316163975 | Angelo J Rizzo | Physical Therapist | 1501 Milstead Rd Ne, Ste 170, Conyers, GA 30012-3838 | 2007-04-18 |
| 1609913318 | Southern Pain Institute PC | Pain Medicine | 1501 Milstead Rd Ne, Suite 140, Conyers, GA 30012-3838 | 2007-01-31 |
| 1962505743 | Therapeutic Solutions, Inc | Physical Therapist | 1501 Milstead Rd Ne, Ste 170, Conyers, GA 30012-3838 | 2006-09-06 |
| 1679686661 | Kevin H Peacock | Internal Medicine | 1501 Milstead Rd Ne, Suite 110, Conyers, GA 30012-3838 | 2006-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| 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 |
|---|---|---|---|---|
| 1922622422 | Analia Home Health Care Services, LLC. | Durable Medical Equipment & Medical Supplies | 2365 Wall St Se Ste 230, Conyers, GA 30013-2197 | 2020-06-01 |
| 1659990810 | Sds Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 2375 Wall St Se Ste 240 Rm 50, Conyers, GA 30013-6702 | 2020-04-08 |
| 1780174821 | King 1959, Inc. | Durable Medical Equipment & Medical Supplies | 2055 Gees Mill Rd Ne Ste 313, Conyers, GA 30013-1363 | 2018-05-15 |
| 1477839496 | Compression Ratios, Inc. | Durable Medical Equipment & Medical Supplies | 371 Gees Mill Business Pkwy, Suite 700, Conyers, GA 30013 | 2011-10-24 |
| 1205119294 | Omnimed Medical Supply and Equipment L.L.C. | Durable Medical Equipment & Medical Supplies | 3113 Edinburgh Ct, Conyers, GA 30094-6863 | 2011-09-26 |
| 1104113273 | Total Healthcare Products LLC | Durable Medical Equipment & Medical Supplies | 987 Okelly St Se, Suite C, Conyers, GA 30012-5462 | 2011-07-08 |
| 1831350214 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1783 Highway 138 Se, Conyers, GA 30013-1295 | 2008-06-19 |
| 1730389578 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 1301 Sigman Rd Ne Ste 160, Conyers, GA 30012-3913 | 2007-07-19 |
| 1255460341 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 2395 Wall Street, Suite 180, Conyers, GA 30013 | 2007-03-05 |
| 1073676995 | Secure Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 977 S Main St, #5e, Conyers, GA 30012 | 2006-12-19 |
| Find all providers in CONYERS | ||||
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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.