Harish Madala, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

91670 Issued in GA

Practice address

460 Northside Cherokee Blvd Ste 450
Canton, GA 30115-8020

Phone

(770) 721-3800

Fax

(770) 720-1890

NPI assigned

Jun 29, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hematology/Oncology

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NSH Cancer Institute Professional Services a, LLCGroup PAC ID 1557514247, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Northwest Home Health Home health agency, Jasper, GA, CCN 117064
• Accentcare Home Health of Georgia Home health agency, Roswell, GA, CCN 117131
• Northside Hospital Hospital, Atlanta, GA, CCN 110161
• Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
• Lonesome Pine Hospital Hospital, Big Stone Gap, VA, CCN 490114
• Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• NSH Cancer Institute Professional Services a LLC

  • Hematology & Oncology Physician
  • Atlanta, GA
  • NPI 1215288378
  Medicare reassignment Care Compare group NPD
• NSH Cancer Institute Professional Services a LLC

  • Durable Medical Equipment & Medical Supplies
  • Decatur, GA
  • NPI 1750631792
  NPD
• NSH Cancer Institute Professional Services a LLC

  • Durable Medical Equipment & Medical Supplies
  • Jonesboro, GA
  • NPI 1497006639
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Northwest, L.L.C.

  • Home Health Agency
  • Jasper, GA
  • NPI 1588612188
  Care Compare affiliation
• Guardian Home Care, LLC

  • Home Health Agency
  • Roswell, GA
  • NPI 1992736227
  Care Compare affiliation
• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Canton, GA
  • NPI 1225050396
  Care Compare affiliation
• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Cumming, GA
  • NPI 1376574277
  Care Compare affiliation
• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1457396079
  Care Compare affiliation
• Wellmont Health System

  • General Acute Care Hospital
  • Big Stone Gap, VA
  • NPI 1801826912
  Care Compare affiliation

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1639433188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 NORTHSIDE CHEROKEE BLVD STE 450",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158020",
            "telephone_number": "770-721-3800",
            "fax_number": "276-679-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 NORTHSIDE CHEROKEE BLVD STE 450",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158020",
            "telephone_number": "770-721-3800",
            "fax_number": "770-720-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADALA",
        "first_name": "HARISH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-29",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301099976",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101264035",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "91670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA MEDICAL LICENSE",
            "identifier": "91670",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary-Katherine Lynch, MD
• Tian Ma, M.D.
• Danielle Mabeus, LPC
• Bart A Macdonald, M.D.
• Daniel Wallace Mackie, P.T., D.P.T., O.C.S.
• Leigh Catherine Maddox, APRN
• Morgan Maeger
• Magset LLC
• Claudia Maira, PAC
• Oluwatomilola Oluwapelumi Makinde, MD

• Hematology & Oncology Physician in Canton, GA
• Providers in Canton, GA by specialty
• Hematology & Oncology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.