NPIMap

Organization Active NPI

NSH Cancer Institute Professional Services a LLC

  • Durable Medical Equipment & Medical Supplies
  • Alpharetta, GA
National Provider Identifier
1306197462
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NSH CANCER INSTITUTE PROFESSIONAL SERVICES A LLC
Practice address
3400 Old Milton Pkwy # C
Suite 400
Alpharetta, GA 30005-3707
Phone
(770) 740-9664
NPI assigned
Sep 28, 2012
Organization subpart
Yes
Parent organization
NORTHSIDE HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Authorized official

Name
Jorge J Hernandez
Title
VP of Admin Services and Cco
Phone
(404) 851-6378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3400 Old Milton Pkwy # C
Suite 400
Alpharetta, GA 30005-3707

Mailing address

1100 Johnson Ferry Rd NE
Center Pointe I, Suite 510
Atlanta, GA 30342-1709

Other names 1

  • NSH CIPS A Other name

National Provider Directory

National Provider Directory
Part of
Northside Hospital

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1306197462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FERRY RD NE",
            "address_2": "CENTER POINTE I, SUITE 510",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY # C",
            "address_2": "SUITE 400",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053707",
            "telephone_number": "770-740-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSH CANCER INSTITUTE PROFESSIONAL SERVICES A LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHSIDE HOSPITAL, INC.",
        "enumeration_date": "2012-09-28",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP OF ADMIN SERVICES AND CCO",
        "authorized_official_telephone_number": "404-851-6378"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NSH CIPS A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.