Northwest Georgia Oncology Centers, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

032740 Issued in GA

Legal business name

NORTHWEST GEORGIA ONCOLOGY CENTERS, PC

Practice address

340 Kennestone Hospital Blvd
Suite 200
Marietta, GA 30060-1121

Phone

(770) 281-5100

Fax

(678) 581-7100

NPI assigned

Sep 16, 2005

Last updated

Jun 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bruce J Gould, MDNPI 1326042706

Title

MD/ Physician

Phone

(770) 281-5100

Specialties & licenses 4

Addresses

Other identifiers 2

Member of 1

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

• Northwest Georgia Oncology Centers, PC

  • Durable Medical Equipment & Medical Supplies
  • Cartersville, GA
  • NPI 1083742175

  Member Of

  NPD member

Locations

Practitioners 7

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.

• Bruce J Gould, MD

  • Hematology & Oncology Physician
  • Marietta, GA
  • NPI 1326042706
  Authorized official Same address or phone
• Frank P. McCoy, MD, PHD

  • Specialist
  • Marietta, GA
  • NPI 1912902321
  NPD
• Curtis R Miles, MD

  • Hematology & Oncology Physician
  • Jasper, GA
  • NPI 1447249156
  NPD
• Debra R Miller, MD

  • Hematology & Oncology Physician
  • Lawrenceville, GA
  • NPI 1447255864

  Specialist

  NPD
• Tiffany M Rouse, PA-C

  • Medical Physician Assistant
  • Blairsville, GA
  • NPI 1760652283
  NPD
• Janice L West, PA

  • Medical Physician Assistant
  • Jasper, GA
  • NPI 1811993041
  NPD
• Minesh Nandi, MD

  • Hematology & Oncology Physician
  • Hiram, GA
  • NPI 1306376421
  NPD (past)

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1750376695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HOSPITAL SOUTH DR",
            "address_2": "SUITE 300",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301066810",
            "telephone_number": "770-944-2830",
            "fax_number": "678-581-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 KENNESTONE HOSPITAL BLVD",
            "address_2": "SUITE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601121",
            "telephone_number": "770-281-5100",
            "fax_number": "678-581-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST GEORGIA ONCOLOGY CENTERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD/ PHYSICIAN",
        "authorized_official_telephone_number": "770-281-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "032740",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300028463A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "GRP245",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Endoscopy Center, LLC (North West Endoscopy Center)
• Northwest ENT Associates, PC
• Northwest Georgia Anesthesia Associates, LLC
• Northwest Georgia Oncology Centers, P.C
• Northwest Georgia Oncology Centers, PC
• Northwest Georgia Orthopaedic Surgery Center, LLC
• Northwest Oral & Maxillofacial Surgery Associates, P.C.
• Andi Norton
• Sean Norwood
• Hooman Nourparvar

• Specialist in Marietta, GA
• Providers in Marietta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.