NSH Cancer Institute Professional Services G LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC

Practice address

214 Perry Hwy
Cancer Treatment Center
Hawkinsville, GA 31036-6748

Phone

(478) 783-4022

NPI assigned

Sep 28, 2012

Organization subpart

No

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

Addresses

Other names 1

• NSH CIPS G Other name

Member of 1

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

• Northside Hospital, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Canton, GA
  • NPI 1770112021

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1447501515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 SAVOY DR",
            "address_2": "SUITE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 PERRY HWY",
            "address_2": "CANCER TREATMENT CENTER",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310366748",
            "telephone_number": "478-783-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-12-28",
        "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 G",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eric Miller
• Laquanta Montgomery, APRN
• Karrine Morgan
• Jessica L Newby, NP-C
• Whitney Rae Norton, FNP
• James Wooten O'Neal III, RPH
• Obinna James Ojiaku, PHARM.D.
• Suja Patel, PHARM.D.
• Peach Medical Management
• Ashley Peavy, RN

• Durable Medical Equipment & Medical Supplies in Hawkinsville, GA
• Providers in Hawkinsville, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.