NPIMap

Organization Active NPI

NSH Cancer Institute Professional Services G LLC

  • Durable Medical Equipment & Medical Supplies
  • Blue Ridge, GA
National Provider Identifier
1629329792
Registry record updated Dec 28, 2012
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 G LLC
Practice address
101 Riverstone Vis
Suite 102
Blue Ridge, GA 30513-6648
Phone
(706) 258-4140
NPI assigned
Sep 28, 2012
Last updated
Dec 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

101 Riverstone Vis
Suite 102
Blue Ridge, GA 30513-6648

Mailing address

1835 Savoy Dr
Suite 300
Atlanta, GA 30341-1072

National Provider Directory

National Provider Directory

Member of 1

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

Locations

550 Peachtree St NE
Ste 1185
Atlanta, GA 30308
Phone (404) 223-0792

1668 Mulkey Rd
Ste 104
Austell, GA 30106
Phone (770) 948-3233

1668 Mulkey Rd
Ste 164
Austell, GA 30106
Phone (770) 590-8311

1668 Mulkey Rd
Ste A
Austell, GA 30106
Phone (770) 944-3303

1521 Hickory Flat Hwy
Ste 100
Canton, GA 30115
Phone (770) 479-1870

228 Riverstone Dr
Canton, GA 30114
Phone (404) 851-6284

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

1501 Milstead Rd NE
Ste 110
Conyers, GA 30012
Phone (770) 460-9949

6002 Professional Pkwy
Ste 200
Douglasville, GA 30134
Phone (770) 942-0457

747 S 8th St
Ste C
Griffin, GA 30224
Phone (770) 228-0788

214 Perry Hwy
Hawkinsville, GA 31036
Phone (478) 783-4022

134 Mountainside Village Pkwy
Ste 100
Jasper, GA 30143
Phone (706) 253-3100

6335 Hospital Pkwy
Ste 107
Johns Creek, GA 30097
Phone (770) 623-8965

790 Church St NE
Ste 335
Marietta, GA 30060
Phone (770) 590-8311

624 W Martin Luther King Jr Dr
Milledgeville, GA 31061
Phone (478) 453-1806

Practitioners & affiliated clinicians

Practitioners 173

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 173

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": "1356652800000",
    "number": "1629329792",
    "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": "101 RIVERSTONE VIS",
            "address_2": "SUITE 102",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136648",
            "telephone_number": "706-258-4140"
        }
    ],
    "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": []
}

Other providers in Blue Ridge, GA

Sources for this page

  • 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.