Organization Active NPI

Suburban Hematology Oncology Associates, PC

  • Hematology & Oncology Physician
  • Duluth, GA
National Provider Identifier
1972764298
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
SUBURBAN HEMATOLOGY ONCOLOGY ASSOCIATES, PC
Practice address
3855 Pleasant Hill Rd
Duluth, GA 30096-1407
Phone
(770) 623-6433
NPI assigned
Jun 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Candance A Hayes
Title
Administrator
Phone
(678) 533-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

3855 Pleasant Hill Rd
Duluth, GA 30096-1407

Mailing address

3855 Pleasant Hill Rd
Duluth, GA 30096-1407
Phone (770) 623-6433

Other identifiers 2

IdentifierTypeStateIssuer
CH5181OtherMCARE RR GROUP#
GRP3891OtherMCARE GROUP#

National Provider Directory

National Provider Directory

Locations

3855 Pleasant Hill Rd
Duluth, GA 30096
Phone (678) 257-7078

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1972764298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 PLEASANT HILL RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961407",
            "telephone_number": "770-623-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 PLEASANT HILL RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961407",
            "telephone_number": "770-623-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN HEMATOLOGY ONCOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CANDANCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-533-1555"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE RR GROUP#",
            "identifier": "CH5181",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE GROUP#",
            "identifier": "GRP3891",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.