NPIMap

Organization Active NPI

The Georgia Center for Total Cancer Care of Hillandale

  • Specialist
  • Lithonia, GA
National Provider Identifier
1124072608
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
THE GEORGIA CENTER FOR TOTAL CANCER CARE OF HILLANDALE
Practice address
2745 Dekalb Medical Pkwy
Suite 100
Lithonia, GA 30058
Phone
(770) 255-7470
Fax
(770) 255-7471
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Dale Lynn McCord, MD
Title
Ceo
Phone
(770) 350-0126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2745 Dekalb Medical Pkwy
Suite 100
Lithonia, GA 30058

Mailing address

3330 Preston Ridge Rd
Suite 300
Alpharetta, GA 30005-4508
Phone (770) 350-0126

National Provider Directory

National Provider Directory
Tax ID family
American Professional Associates LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1124072608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 PRESTON RIDGE RD",
            "address_2": "SUITE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054508",
            "telephone_number": "770-350-0126",
            "fax_number": "770-350-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 DEKALB MEDICAL PKWY",
            "address_2": "SUITE 100",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "30058",
            "telephone_number": "770-255-7470",
            "fax_number": "770-255-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GEORGIA CENTER FOR TOTAL CANCER CARE OF HILLANDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "MCCORD",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-350-0126",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.