Organization Active NPI

East Atlanta Hematology & Oncology LLC

  • Hematology & Oncology Physician
  • Covington, GA
National Provider Identifier
1326312448
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
EAST ATLANTA HEMATOLOGY & ONCOLOGY LLC
Practice address
10157 Eagle Dr
Covington, GA 30014-3805
Phone
(770) 786-0655
Fax
(770) 786-6542
NPI assigned
Mar 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Authorized official

Name
Troy B Brooks
Title
Cfo
Phone
(770) 385-4426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X GA Primary

Addresses

Primary practice location

10157 Eagle Dr
Covington, GA 30014-3805

Mailing address

10157 Eagle Dr
Covington, GA 30014-3805
Phone (770) 786-0655

National Provider Directory

National Provider Directory

Member of 1

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

Locations

10157 Eagle Dr
Covington, GA 30014
Phone (770) 786-0655

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1326312448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10157 EAGLE DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300143805",
            "telephone_number": "770-786-0655",
            "fax_number": "770-786-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10157 EAGLE DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300143805",
            "telephone_number": "770-786-0655",
            "fax_number": "770-786-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ATLANTA HEMATOLOGY & ONCOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-385-4426"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.