NSH Cancer Institute Professional Services G, LLC
Organization Active NPI Hematology & Oncology Physician · Atlanta, GA
NPI 1124379284 · NPPES record last updated Oct 12, 2012
Key facts
- NPI
- 1124379284
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- Legal business name
- NSH CANCER INSTITUTE PROFESSIONAL SERVICES G, LLC
- Practice address
- 1100 Johnson Ferry Rd NE
Suite 600
Atlanta, GA 30342-1709 - Phone
- (404) 851-6378
- NPI assigned
- Sep 28, 2012
- Organization subpart
- No
Authorized official
- Name
- Jorge Hernandez
- Title
- VP of Admin Services and Cco
- Phone
- (404) 851-6378
Other NPIs on the same Medicare enrollment 1
Member of 1
Practitioners 199
-
Arvind Kumar Aggarwal, M.D.
-
Abisola A Ajayi, NP
-
Denise Johnson Allen, NURSE PRACTITIONER
-
Regina Lynn Andrews, MSN, APRN, FNP-BC
-
Jessica Brooke Bache, FNP-C
-
Ioana R. Bonta, MD
-
Tajuana B Bradley, FNP-C
-
Dana Parrish Branchetti, AGACNP-BC
-
Cassie Lucia Burt, PA-C
-
Joan E Cain, MD
-
Trina Renee Cain, CNP
-
Lorena A. Castillo, PA-C
-
Sheila Mahsa Dini, PA-C
-
Aynaddis Fekadu, FNP-C
-
Carlos M Franco, MD
-
Louis C Garrot, M.D.
-
Gerald Alan Goldklang, M.D.
-
Jeffrey Alan Harris, MSN
-
Donna Elizabeth Hendley, PA-C
-
Pradeep C Jolly, MD
-
Hawa Jehjeh Kanneh, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130128000225 | GA | Part B Supplier - Clinic/Group Practice | 0840443164 |
Receives reassigned benefits from 172 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Locations
3330 Preston Ridge Rd
Ste 1100
Alpharetta, GA 30005
320 Parkway Dr NE
Fl 2
Atlanta, GA 30312
308 Deep South Farm Rd
Ste 300
Blairsville, GA 30512
1505 Northside Blvd
Ste 3100
Cumming, GA 30041
Phone (770) 205-1331
134 Mountainside Village Pkwy
Bldg 500
Jasper, GA 30143
Phone (706) 253-7340
134 Mountainside Village Pkwy
#100
Jasper, GA 30143
6300 Hospital Pkwy
Ste 300
Johns Creek, GA 30097
Phone (770) 623-8965
5700 Hillandale Dr
Ste 250
Lithonia, GA 30058
Phone (770) 981-5431
111 Fieldstone Dr
Ste 116
Milledgeville, GA 31061
Phone (478) 453-1806
4298 W Atlanta Rd SE
Ste 200
Smyrna, GA 30080
Phone (404) 419-3080
1045 Southcrest Dr
Ste 210
Stockbridge, GA 30281
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician |
207RH0003X | Yes | ||
| Pharmacy | 333600000X |
Addresses
Primary practice location
1100 Johnson Ferry Rd NE
Suite 600
Atlanta, GA 30342-1709
Mailing address
308 Coliseum Dr
Suite 150
Macon, GA 31217-3865
Other providers in Atlanta, GA
- NSH Cancer Institute Professional Services a,LLC
- NSH Cancer Institute Professional Services G LLC
- NSH Cancer Institute Professional Services G LLC
- NSH Cancer Institute Professional Services G LLC
- NSH Cancer Institute Professional Services G LLC
- NSH Cancer Institute Professional Services G, LLC
- NSH Cancer Institute Professional Services G,LLC
- Maureen Chinenye Nsofor
- Obinna Ntiasagwe
- Arhyele Ntongwe
All providers in Atlanta, GA · Hematology & Oncology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.