GEORGIA CANCER SPECIALISTS I, PC (NPI# 1013215938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013215938 |
Entity Type | Organization |
Organization Name | GEORGIA CANCER SPECIALISTS I, PC |
Practice Address |
3886 Princeton Lakes Way Sw Suite 200 Atlanta GA 30331-5511 |
Mailing Address |
1835 Savoy Dr Suite 300 Atlanta GA 30341-1072 |
Practice Telephone | 4043497300 |
Practice Fax Number | 4043497344 |
Mailing Telephone | 7704953396 |
Mailing Fax Number | 7704952307 |
Enumeration Date | 2011-03-01 |
Last Update Date | 2011-03-01 |
Authorized Official Name | DR. WENDY H. LENZ (COO) |
Authorized Official Telephone | 7704965555 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | MEDICARE GROUP PTAN | GRP2415 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821076241 | Georgia Cancer Specialists I, PC | Specialist | 1835 Savoy Dr, Suite 300, Atlanta, GA 30341-1072 | 2006-01-05 |
1487892204 | Georgia Cancer Specialists I, PC | Internal Medicine | 125 Medical Park Ln, Suite I, Murphy, NC 28906-6920 | 2009-02-02 |
1093953812 | Georgia Cancer Specialists I, PC | Internal Medicine | 144 Medical Center Dr, Suite D, Copperhill, TN 37317-5005 | 2009-02-02 |
1649441296 | Georgia Cancer Specialists I, PC | Internal Medicine | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 | 2008-03-21 |
1497760110 | Georgia Cancer Specialists I, PC | Internal Medicine | 33 Upper Riverdale Rd Sw, Suite 121, Riverdale, GA 30274-2626 | 2006-07-30 |
Street Address |
3886 PRINCETON LAKES WAY SW SUITE 200 |
City | ATLANTA |
State | GA |
Zip Code | 30331-5511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710955141 | Felicia L Rhaney | Obstetrics & Gynecology | 3886 Princeton Lakes Way Sw, Suite 160, Atlanta, GA 30331-5511 | 2006-03-10 |
1902259641 | Marcia Adelle Edwards | Midwife | 3886 Princeton Lakes Way Sw, Atlanta, GA 30331-5511 | 2016-07-18 |
1538546064 | Chantel Karim-williams | Pharmacist | 3886 Princeton Lakes Way Sw, Suite 200, Atlanta, GA 30331-5511 | 2015-05-05 |
1316330772 | Trinity Pharmacy Enterprise II LLC | Pharmacist | 3886 Princeton Lakes Way Sw, 180, Atlanta, GA 30331-5511 | 2015-03-10 |
1639584378 | Southern Pain Institute, PC | Specialist | 3886 Princeton Lakes Way Sw, Ste 240, Atlanta, GA 30331-5511 | 2014-06-20 |
1730430802 | Nsh Cancer Institute Professional Service G LLC | Durable Medical Equipment & Medical Supplies | 3886 Princeton Lakes Way Sw, Suite 200, Atlanta, GA 30331-5511 | 2012-09-28 |
1316210156 | Prestige Healthcare Atlanta, LLC | Obstetrics & Gynecology | 3886 Princeton Lakes Way Sw, Suite 280, Atlanta, GA 30331-5511 | 2012-02-09 |
1104197797 | Life Cycle Ob/gyn, LLC | Obstetrics & Gynecology | 3886 Princeton Lakes Way Sw, Suite 160, Atlanta, GA 30331-5511 | 2012-01-13 |
1467757492 | Head-to-toe Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3886 Princeton Lakes Way Sw, Suite 140-b, Atlanta, GA 30331-5511 | 2011-01-24 |
1457508681 | Providence Foot & Ankle Centers, P.C. Inc. | Podiatrist | 3886 Princeton Lakes Way Sw, Suite 140a, Atlanta, GA 30331-5511 | 2008-08-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
Find all providers in zip 30331 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538669296 | Nizar Jacques J Bahlis | Internal Medicine | Winship Cancer Institute 1365 Clifton Rd Building C, Atlanta, GA 30322-0001 | 2018-02-19 |
1598085193 | Mehmet Asim Bilen | Internal Medicine | Winship Cancer Institute of Emory University, 1365c Clifton Road, Atlanta, GA 30322-0001 | 2010-06-04 |
1841440856 | More Than Ready Company LLC | Internal Medicine | 5456 Peachtree Industrial Blvd # 636, Atlanta, GA 30341-2235 | 2008-09-26 |
1356479190 | Richard Steven Leff | Internal Medicine | 1300 Parkwood Cir Se, Atlanta, GA 30339-2143 | 2007-03-01 |
1841342276 | Paul Richter | Internal Medicine | 3920 Randall Farm Road, Atlanta, GA 30339 | 2007-01-17 |
1326102328 | Gary S Rana | Internal Medicine | 125 N Devereux Ct Nw, Nw, Atlanta, GA 30327-4351 | 2006-12-21 |
1871665265 | Ann E Haight | Internal Medicine | 1405 Clifton Road Ne, 3rd Fl, Atlanta, GA 30322 | 2006-11-14 |
1912915109 | Otis W. Brawley | Internal Medicine | Winship Cancer Institute, 1365 Clifton Rd., Ne Ste C4014, Atlanta, GA 30322-0001 | 2006-08-03 |
1386687721 | Robert S Allen | Internal Medicine | 1005 Oxford Rd Ne, Atlanta, GA 30306-2605 | 2006-06-14 |
1619919602 | Aparna Reddy Kumar | Internal Medicine | 6105 Peachtree Dunwoody Rd Ste A150, Atlanta, GA 30328 | 2006-06-12 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.