NPIMap

Individual provider Active NPI

Gurinderjit Kaur Sidhu, MD

  • Hematology & Oncology Physician
  • Stockbridge, GA
National Provider Identifier
1043267628
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
035275 Issued in GA
Practice address
1050 Eagles Landing Pkwy Ste 302
Stockbridge, GA 30281-9250
Phone
(770) 507-0070
Fax
(770) 507-7463
NPI assigned
May 28, 2006
Last updated
May 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 035275 GA Primary

Addresses

Primary practice location

1050 Eagles Landing Pkwy Ste 302
Stockbridge, GA 30281-9250

Mailing address

1100 Johnson Ferry Rd NE
Suite 510
Sandy Springs, GA 30342-1709
Phone (404) 419-1140

Other identifiers 1

IdentifierTypeStateIssuer
00635214AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gsidhu@atlantacancercare.direct.varian.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100615000547 GA Practitioner - Hematology/Oncology 3779482963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NSH Cancer Institute Professional Services a, LLCGroup PAC ID 1557514247, 41 clinicians

Practice addresses (Care Compare)

1050 Eagles Landing Pkwy
Suite 302
Stockbridge, GA 30281-9250
Phone (770) 507-0070

1498 Klondike Rd SW
Suite 106
Conyers, GA 30094-5169
Phone (770) 761-7260

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
NSH Cancer Institute Professional Services a LLC Hematology & Oncology CurrentSince Jan 1, 2013 Accepting new patients
NSH Cancer Institute Professional Services a LLC CurrentSince Jan 1, 2013 Accepting new patients
NSH Cancer Institute Professional Services a LLC Past Accepting new patients
Atlanta Cancer Care Hematology & Oncology Past Accepting new patients
Northside Hospital, Inc. PastSince Aug 17, 1995 Accepting new patients

Locations

1498 Klondike Rd SW
Ste 106
Conyers, GA 30094
Phone (770) 761-7260

2675 N Decatur Rd
Ste 200
Decatur, GA 30033
Phone (404) 296-1256

7813 Spivey Station Blvd
Ste 210
Lake Spivey, GA 30236
Phone (770) 507-0070

1100 Johnson Fy Rd NE
Ste 510
Sandy Springs, GA 30342
Phone (404) 419-1165

1050 Eagles Landing Pkwy
Ste 302
Stockbridge, GA 30281
Phone (770) 389-9494

Interoperability endpoints

  • Direct secure messaging: gsidhu@atlantacancercare.direct.varian.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1043267628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FERRY RD NE",
            "address_2": "SUITE 510",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303421709",
            "telephone_number": "404-419-1140",
            "fax_number": "404-419-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 EAGLES LANDING PKWY STE 302",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819250",
            "telephone_number": "770-507-0070",
            "fax_number": "770-507-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR SIDHU",
        "first_name": "GURINDERJIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "035275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00635214A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gsidhu@atlantacancercare.direct.varian.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "7813 Spivey Station Blvd",
            "address_2": "Suite 210",
            "city": "Lake Spivey",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302362900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.