Active NPI
Suburban Hematology Oncology Associates, PC
- Hematology & Oncology Physician
- Duluth, GA
National Provider Identifier
1972764298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH5181 | Other | MCARE RR GROUP# | |
| GRP3891 | Other | MCARE GROUP# |
National Provider Directory
National Provider DirectoryLocations
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.