Active NPI
Cancer Center of Middle Georgia, LLC
- Hematology & Oncology Physician
- Dublin, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- CANCER CENTER OF MIDDLE GEORGIA, LLC
- Practice address
- 2400 Bellevue Rd Ste 26
Dublin, GA 31021-2893 - Phone
- (478) 272-8266
- NPI assigned
- Apr 19, 2013
- Last updated
- May 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harsha Vyas, M.D.
- Title
- President
- Phone
- (478) 272-8266
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | NU | Primary |
Addresses
Primary practice location
2400 Bellevue Rd Ste 26
Dublin, GA 31021-2893
Mailing address
2400 Bellevue Rd Ste 26
Dublin, GA 31021-2893
Phone (478) 272-8266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2060348 | Cancer Center of Middle Georgia, LLC | Compliance | Mar 11, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hematology & Oncology Physician
- Dublin, GA
- NPI 1447447933
-
- Registered Nurse
- Cochran, GA
- NPI 1821619362
-
- Registered Nurse
- Jeffersonville, GA
- NPI 1306475553
-
- Family Nurse Practitioner
- Sandersville, GA
- NPI 1831719608
-
- Gerontology Nurse Practitioner
- Warner Robins, GA
- NPI 1659157303
-
- Family Nurse Practitioner
- Dublin, GA
- NPI 1831598721
-
- Family Nurse Practitioner
- Dublin, GA
- NPI 1124858535
-
- Physician Assistant
- Atlanta, GA
- NPI 1518545136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683072000000",
"number": "1144664251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 BELLEVUE RD STE 26",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310212893",
"telephone_number": "478-272-8266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 BELLEVUE RD STE 26",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310212893",
"telephone_number": "478-272-8266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANCER CENTER OF MIDDLE GEORGIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-19",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A",
"authorized_official_last_name": "VYAS",
"authorized_official_first_name": "HARSHA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "478-272-8266",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.