Janice A Galleshaw, MD

Individual provider Active NPI Hematology & Oncology Physician · Sandy Springs, GA

NPI 1295713071 · NPPES record last updated Jan 14, 2011

Key facts

NPI
1295713071
Entity type
Individual (NPI type 1)
Primary specialty
Hematology & Oncology Physician 207RH0003X
License
033906 (GA)
Practice address
1100 Johnson Ferry Rd NE
Suite 600
Sandy Springs, GA 30342-1709
Phone
(404) 256-4777
Fax
(404) 256-5515
NPI assigned
Jan 3, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
033906GAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Cancer Specialists I, PC Past Accepting new patients
Northside Hospital, Inc. Past
since Mar 7, 2011
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 033906 GA Yes

Addresses

Primary practice location

1100 Johnson Ferry Rd NE
Suite 600
Sandy Springs, GA 30342-1709

Mailing address

1835 Savoy Dr
Suite 300
Atlanta, GA 30341-1072
Phone (770) 495-3396

Other identifiers

IdentifierTypeStateIssuer
000453703DMedicaidGA

Other providers in Sandy Springs, GA

All providers in Sandy Springs, GA · Hematology & Oncology Physician in Georgia

Sources for this page

Verify at the official NPI Registry.