Organization Active NPI

East Georgia Cancer Center

  • Hematology & Oncology Physician
  • Statesboro, GA
National Provider Identifier
1154453058
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
051780 Issued in GA
Legal business name
EAST GEORGIA CANCER CENTER
Practice address
1601 Fair Rd
#900
Statesboro, GA 30458-1698
Phone
(912) 871-8000
Fax
(912) 871-3030
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Harsh Bhushan, M.D.
Title
M.D.
Phone
(912) 871-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 051780 GA Primary

Addresses

Primary practice location

1601 Fair Rd
#900
Statesboro, GA 30458-1698

Mailing address

PO Box 397
Statesboro, GA 30459-0397
Phone (912) 871-8000

National Provider Directory

National Provider Directory

Locations

1601 Fair Rd
Ste 900
Statesboro, GA 30458
Phone (912) 692-2000

Practitioners & affiliated clinicians

Practitioners 2

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": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154453058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304590397",
            "telephone_number": "912-871-8000",
            "fax_number": "912-871-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 FAIR RD",
            "address_2": "#900",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581698",
            "telephone_number": "912-871-8000",
            "fax_number": "912-871-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST GEORGIA CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BHUSHAN",
        "authorized_official_first_name": "HARSH",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "912-871-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "051780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.