NPIMap

Organization Active NPI

University Cancer & Blood Center LLC

  • Surgery Physician
  • Athens, GA
National Provider Identifier
1679200752
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
UNIVERSITY CANCER & BLOOD CENTER LLC
Practice address
3320 Old Jefferson Rd BLDG 700
Athens, GA 30607-1465
Phone
(706) 353-2990
Fax
(706) 353-2992
NPI assigned
Aug 8, 2022
Organization subpart
Yes
Parent organization
UNIVERSITY HEALTH ALLIANCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Shannon L Thurmond
Title
Credentialing Specialist
Phone
(706) 614-5212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

3320 Old Jefferson Rd BLDG 700
Athens, GA 30607-1465

Mailing address

3320 Old Jefferson Rd BLDG 700
Athens, GA 30607-1465
Phone (706) 353-2990

Other names 1

  • University Health Alliance Doing business as

National Provider Directory

National Provider Directory
Tax ID family
University Cancer Blood Ce4 organizations share this tax ID, including this one
Part of
University Cancer Blood Ce

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1679200752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD BLDG 700",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071465",
            "telephone_number": "706-353-2990",
            "fax_number": "706-353-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD BLDG 700",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071465",
            "telephone_number": "706-353-2990",
            "fax_number": "706-353-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY CANCER & BLOOD CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY HEALTH ALLIANCE",
        "enumeration_date": "2022-08-08",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "THURMOND",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "706-614-5212"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Health Alliance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.