NPIMap

Organization Active NPI

NSH Cancer Institute Professional Service G LLC

  • Durable Medical Equipment & Medical Supplies
  • Atlanta, GA
National Provider Identifier
1730430802
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 SERVICE G LLC
Practice address
3886 Princeton Lakes Way SW
Suite 200
Atlanta, GA 30331-5511
Phone
(404) 249-7300
NPI assigned
Sep 28, 2012
Organization subpart
Yes
Parent organization
NORTHSIDE HOSPITAL, INC.As reported in NPPES

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

3886 Princeton Lakes Way SW
Suite 200
Atlanta, GA 30331-5511

Mailing address

1835 Savoy Dr
Suite 300
Atlanta, GA 30341-1072

Other names 1

  • NSH CIPS G Other name

National Provider Directory

National Provider Directory
Part of
Northside Hospital

Member of 1

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

Locations

3886 Princeton Lakes Way SW
Ste 200
Atlanta, GA 30331
Phone (404) 249-7300

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": "1730430802",
    "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": "3886 PRINCETON LAKES WAY SW",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315511",
            "telephone_number": "404-249-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSH CANCER INSTITUTE PROFESSIONAL SERVICE G LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHSIDE HOSPITAL, INC.",
        "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"
        }
    ]
}

Other providers in Atlanta, 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.