NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC (NPI# 1992058903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992058903 |
| Entity Type | Organization |
| Organization Name | NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC |
| Other Organization Name | NSH CIPS G |
| Practice Address |
308 Coliseum Dr Suite 120 Macon GA 31217-3865 |
| Mailing Address |
1835 Savoy Dr Suite 300 Atlanta GA 30341-1071 |
| Practice Telephone | 4787454443 |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-12-28 |
| Authorized Official Name | JORGE J HERNANDEZ (VP OF ADMIN SERVICES AND CCO) |
| Authorized Official Telephone | 4048516378 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NSH CIPS G | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003167172 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 159 Enterprise Path, Suite 503, Hiram, GA 30141-7600 | 2012-09-28 |
| 1568713634 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 1045 Southcrest Dr, Suite 200, Stockbridge, GA 30281-6113 | 2012-09-28 |
| 1194076265 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 1668 Mulkey Rd, Suite A, Austell, GA 30106-1143 | 2012-09-28 |
| 1760733836 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 1100 Johnson Ferry Rd Ne, Suite 600, Atlanta, GA 30342-1709 | 2012-09-28 |
| 1679824742 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 790 Church St Ne, Suite 335, Marietta, GA 30060-7282 | 2012-09-28 |
| 1477804540 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 6300 Hospital Pkwy, Suite 300, Johns Creek, GA 30097-1828 | 2012-09-28 |
| 1821349994 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 320 Parkway Dr Ne, Suite 208, Atlanta, GA 30312-1213 | 2012-09-28 |
| 1801147970 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 747 S. 8th Street, Suite C, Griffin, GA 30224-4880 | 2012-09-28 |
| 1710238886 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 624 W Martin Luther King Jr Dr, Milledgeville, GA 31061-2787 | 2012-09-28 |
| 1629329792 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 101 Riverstone Vis, Suite 102, Blue Ridge, GA 30513-6648 | 2012-09-28 |
| Street Address |
308 COLISEUM DR SUITE 120 |
| City | MACON |
| State | GA |
| Zip Code | 31217-3865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194722850 | David E Kent | Dermatology | 308 Coliseum Dr, Suite 200, Macon, GA 31217-3876 | 2005-07-07 |
| 1427597145 | Kelsi Dixon | Registered Nurse | 308 Coliseum Dr, Macon, GA 31217-3865 | 2017-02-14 |
| 1679020606 | John Paul Wade | Pharmacist | 308 Coliseum Dr, Suite 120, Macon, GA 31217-3865 | 2016-09-07 |
| 1407234263 | Caitlin Elizabeth Eilers | Physician Assistant | 308 Coliseum Dr, Suite 200, Macon, GA 31217-3865 | 2015-05-13 |
| 1497094676 | Kristen Whelchel | Pharmacist | 308 Coliseum Dr, Suite 150, Macon, GA 31217-3865 | 2013-02-07 |
| 1104165398 | Cassandra Michel Floyd | Pharmacist | 308 Coliseum Dr, Suite 150, Macon, GA 31217-3865 | 2013-02-07 |
| 1558612622 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 308 Coliseum Dr, Suite 120, Macon, GA 31217-3865 | 2012-09-28 |
| 1881944759 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 308 Coliseum Dr, Suite 150, Macon, GA 31217-3865 | 2012-09-18 |
| 1124339338 | James Gerard Lennon | Internal Medicine | 308 Coliseum Dr, Suite 120, Macon, GA 31217-3865 | 2010-06-23 |
| 1790985463 | Todd M Williams | Nurse Practitioner | 308 Coliseum Dr, Suite 200, Macon, GA 31217-3865 | 2007-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535998 | Khuzema Mohsin | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 | 2018-04-18 |
| 1083135271 | Angela Polk | Nurse Practitioner | 310 Hospital Dr Ste 305, Macon, GA 31217 | 2017-06-28 |
| 1235662305 | Natalie Rodziewicz | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Suite 430, Macon, GA 31217 | 2017-04-06 |
| 1427430180 | Brett Forehand | Nurse Practitioner | 330 Hospital Dr Ste 304, Macon, GA 31217 | 2015-06-18 |
| 1376772640 | Beverly Barksdale Sanders IIi | Internal Medicine | 330 Hospital Dr., Ste. 304, Macon, GA 31217 | 2009-07-08 |
| 1528218393 | Vladimir Zahradnik | Surgery | 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 | 2008-09-29 |
| 1821274267 | Mary Charmaine Estrella Campana | Physical Therapist | 380 Hospital Drive, Building A, Ste. 430, Macon, GA 31217 | 2008-01-16 |
| 1033300785 | Joann Sams Sinclair | Nurse Practitioner | 4164 Riggins Mill Road, Macon, GA 31217 | 2007-08-07 |
| 1376689737 | Grier Godfrey | Dentist | Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 | 2007-01-30 |
| 1053408328 | Sujatha K. Reddy | Psychiatry & Neurology | 175 Emery Highway, Macon, GA 31217 | 2006-10-06 |
| Find all providers in zip 31217 | ||||
| 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 |
|---|---|---|---|---|
| 1326026915 | Franc Wallace | Internal Medicine | 308 Coliseum Drive, Suite 120, Macon, GA 31217-3808 | 2006-01-04 |
| 1629056395 | Cheryl F Jones | Internal Medicine | 308 Coliseum Dr Ste 120, Macon, GA 31217-3859 | 2006-01-04 |
| 1376718122 | Mohammed Athar Naeem | Internal Medicine | 800 1st St Ste 410, Macon, GA 31201-8306 | 2008-04-23 |
| 1285848689 | Premila Malhotra | Internal Medicine | 308 Coliseum Dr, Suite 120, Macon, GA 31217-3865 | 2007-05-09 |
| 1679551279 | Vundyala V Reddy | Internal Medicine | 308 Coliseum Dr, Suite 120, Macon, GA 31217-3808 | 2006-01-04 |
| 1548248289 | Raj R Gupta | Internal Medicine | 308 Coliseum Dr Ste 120, Macon, GA 31217-3859 | 2006-01-04 |
| 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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| 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.