NPIMap

Organization Active NPI

Piedmont Cancer Institute PC

Doing business as Peachtree Hematology-Oncology Consultants PC

  • Community/Retail Pharmacy
  • Atlanta, GA
National Provider Identifier
1831268606
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE008932 Issued in GA
Legal business name
PIEDMONT CANCER INSTITUTE PC
Doing business as
Peachtree Hematology-Oncology Consultants PC
Practice address
1800 Howell Mill Rd NW Ste 775
Atlanta, GA 30318-3186
Phone
(678) 298-3228
Fax
(678) 298-3229
NPI assigned
Nov 7, 2006
Last updated
Mar 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Eric Dean Mininberg, MDNPI 1275591067
Title
President
Phone
(404) 350-9853

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHRE008932 GA Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

1800 Howell Mill Rd NW Ste 775
Atlanta, GA 30318-3186

Mailing address

1800 Howell Mill Rd NW Ste 775
Atlanta, GA 30318-3186
Phone (678) 298-3228

Other identifiers 2

IdentifierTypeStateIssuer
055000929BMedicaidGA
2015808OtherPK

Other names 1

  • PEACHTREE HEMATOLOGY-ONCOLOGY CONSULTANTS PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930100660 GA DME Supplier - Physician - Hematology/OncologyDME Supplier - Pharmacy 9638167844 1 other NPI on this enrollment
Practice locations: Atlanta, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Piedmont Cancer Institute PC1800 Howell Mill Rd NW, Atlanta, GA 30318-3186(678) 298-3228 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

1800 Howell Mill Rd NW
Ste 800
Atlanta, GA 30318
Phone (404) 350-9853

275 Collier Rd NW
Ste 400
Atlanta, GA 30309
Phone (404) 350-9853

95 Collier Rd NW
Ste 5015
Atlanta, GA 30309
Phone (404) 605-5699

1267 Highway 54 W
Ste 4200
Fayetteville, GA 30214
Phone (678) 829-1060

755 Mount Vernon Hwy NE
Ste 320
Sandy Springs, GA 30328
Phone (404) 350-8711

Practitioners & affiliated clinicians

Practitioners 36

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 36

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1831268606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 775",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303183186",
            "telephone_number": "678-298-3228",
            "fax_number": "678-298-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 775",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303183186",
            "telephone_number": "678-298-3228",
            "fax_number": "678-298-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT CANCER INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "MININBERG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-350-9853",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE008932",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055000929B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2015808",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEACHTREE HEMATOLOGY-ONCOLOGY CONSULTANTS PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PEACHTREE HEMATOLOGY-ONCOLOGY CONSULTANTS PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.