Premila Malhotra (NPI# 1285848689, PAC ID# 7012009418) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1285848689 |
| PAC ID by PECOS | 7012009418 |
| Professional Enrollment ID | I20080730000498 |
| Full Name | Premila Malhotra |
| Organization Legal Name | NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC |
| Address |
624 W Martin Luther King Jr Dr Milledgeville GA 31061-2787 |
| Phone Number | 4784531806 |
| Gender | F |
| Graduation Year | 1991 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Secondary Specialties | HEMATOLOGY |
| Group Practice PAC ID | 0840443164 |
| Number of Group Practice Members | 101 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110164 | COLISEUM MEDICAL CENTERS, LLC, DBA |
| 110107 | MEDICAL CENTER, NAVICENT HEALTH (THE) |
| 110150 | NAVICENT HEALTH BALDWIN |
| 110161 | NORTHSIDE HOSPITAL |
| 110201 | COLISEUM NORTHSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 308 Coliseum Dr, Suite 120, Macon, GA 31217-3859 | 4787456130 | NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC |
| 624 W Martin Luther King Jr Dr, Milledgeville, GA 31061-2787 | 4784531806 | NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC |
| Organization Legal Name | NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC |
| Physicians | 106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Elizabeth Hill | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 308 Deep S Farm Rd, Suite 200, Blairsville, GA 30512-2218 |
| Ali Mohamad Sayed | Hematology/oncology | Nsh Cancer Institute Professional Services G LLC | 125 King Ave, Suite 200, Athens, GA 30606-6710 |
| Tina Marie Grall | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 747 S 8th St C, Griffin, GA 30224-4818 |
| Aynaddis Fekadu | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 698 Duluth Hwy 201, Lawrenceville, GA 30046-7648 |
| Abisola A Ajayi | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 5700 Hillandale Dr, Suite 250, Lithonia, GA 30058-4120 |
| Donna E Hendley | Physician Assistant | Nsh Cancer Institute Professional Services G LLC | 132 Old Norton Rd, Suite 200, Fayetteville, GA 30215-4873 |
| Kathleen E. Lambert | Hematology/oncology | Nsh Cancer Institute Professional Services G LLC | 1501 Milstead Nerd, Suite 110, Conyers, GA 30012-3849 |
| Sheila Dini | Physician Assistant | Nsh Cancer Institute Professional Services G LLC | 1045 Southcrest Dr, Stockbridge, GA 30281-6113 |
| Navneet Dhillon | Medical Oncology | Nsh Cancer Institute Professional Services G LLC | 228 Riverstone Dr, Canton, GA 30114-5256 |
| Aaron R. Alizadeh | Hematology/oncology | Nsh Cancer Institute Professional Services G LLC | 2712 Lawrenceville Hwy, Decatur, GA 30033-2512 |
| Street Address |
624 W MARTIN LUTHER KING JR DR |
| City | MILLEDGEVILLE |
| State | GA |
| Zip | 31061-2787 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Parrish Branchetti | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 624 W Martin Luther King Jr Dr, Milledgeville, GA 31061-2787 |
| Franc Wallace | Hematology/oncology | Nsh Cancer Institute Professional Services G LLC | 624 W Martin Luther King Jr Dr, Milledgeville, GA 31061-2787 |
| Chinyere Chigbu | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 624 W Martin Luther King Jr Dr, Milledgeville, GA 31061-2787 |
| Raj R Gupta | Hematology/oncology | Nsh Cancer Institute Professional Services G LLC | 624 W Martin Luther King Jr Dr, Milledgeville, GA 31061-2787 |
| Jordan L Wood | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 624 W Martin Luther King Jr Dr, Milledgeville, GA 31061-2787 |
| Regina L Andrews | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 624 W Martin Luther King Jr Dr, Milledgeville, GA 31061-2787 |
| Candace L. Nesmith | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 624 W Martin Luther King Jr Dr, Milledgeville, GA 31061-2787 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernard Mark Tortorice | Anesthesiology | Clinical Colleagues Inc | 821 N Cobb St, Millegeville, GA 31061-0000 |
| Daniel Eldridge Mcalvin | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 821 N Cobb St, Millegeville, GA 31061-0000 |
| Natasha A Parker | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 821 N Cobb St, Millegeville, GA 31061-0000 |
| Harinder Singh Brar | General Surgery | 315 N Cobb St, Milledgeville, GA 31061-0315 | |
| Sarah M Cook | Chiropractic | 130 Log Cabin Rd, Suite B, Milledgeville, GA 31061-0918 | |
| Heather Herring | Nurse Practitioner | Fasttrack Immediate Care of Milledgeville,llc | 1909 N Columbia St, Milledgeville, GA 31061-2170 |
| Adegboyega O Orelaja | Physician Assistant | Fasttrack Immediate Care of Milledgeville,llc | 1909 N Columbia St, Milledgeville, GA 31061-2170 |
| Gururaj Nayak | Internal Medicine | Fasttrack Immediate Care of Milledgeville,llc | 1909 N Columbia St, Milledgeville, GA 31061-2170 |
| Alan J Liebe | Chiropractic | 1776 N Jefferson St, Milledgeville, GA 31061-2215 | |
| Thuy Diem Giang | Podiatry | 1820 N Columbia St, Milledgeville, GA 31061-2300 | |
| Find all physicians in zip 31061 | |||
| City | MILLEDGEVILLE |
| Zip Code | 31061 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | MILLEDGEVILLE + HEMATOLOGY/ONCOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.