NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC


Address: 1505 Northside Blvd, Suite 4300, Cumming, GA 30041-7623
Phone: 7702051331

NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC (NPI# 1073864146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073864146
Entity Type Organization
Organization Name NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC
Other Organization Name NSH CIPS G
Practice Address 1505 Northside Blvd
Suite 4300
Cumming
GA 30041-7623
Mailing Address 1835 Savoy Dr
Suite 300
Atlanta
GA 30341-1072
Practice Telephone 7702051331
Enumeration Date 2012-09-28
Last Update Date 2012-12-28
Authorized Official Name JORGE J HERNANDEZ (VP OF ADMIN SERVICES AND CCO)
Authorized Official Telephone 4048516378
Is Organization Subpart Y
Parent Organization Name NORTHSIDE HOSPITAL, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Other Provider/Organization Names

Other Name Type Code
NSH CIPS G Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1003167172 Nsh Cancer Institute Professional Services G LLC Durable Medical Equipment & Medical Supplies 159 Enterprise Path, Suite 503, Hiram, GA 30141-7600 2012-09-28
1992058903 Nsh Cancer Institute Professional Services G LLC Pharmacy 308 Coliseum Dr, Suite 120, Macon, GA 31217-3865 2012-10-16
1568713634 Nsh Cancer Institute Professional Services G LLC Durable Medical Equipment & Medical Supplies 1045 Southcrest Dr, Suite 200, Stockbridge, GA 30281-6113 2012-09-28
1194076265 Nsh Cancer Institute Professional Services G LLC Durable Medical Equipment & Medical Supplies 1668 Mulkey Rd, Suite A, Austell, GA 30106-1143 2012-09-28
1760733836 Nsh Cancer Institute Professional Services G LLC Durable Medical Equipment & Medical Supplies 1100 Johnson Ferry Rd Ne, Suite 600, Atlanta, GA 30342-1709 2012-09-28
1679824742 Nsh Cancer Institute Professional Services G LLC Durable Medical Equipment & Medical Supplies 790 Church St Ne, Suite 335, Marietta, GA 30060-7282 2012-09-28
1477804540 Nsh Cancer Institute Professional Services G LLC Durable Medical Equipment & Medical Supplies 6300 Hospital Pkwy, Suite 300, Johns Creek, GA 30097-1828 2012-09-28
1821349994 Nsh Cancer Institute Professional Services G LLC Durable Medical Equipment & Medical Supplies 320 Parkway Dr Ne, Suite 208, Atlanta, GA 30312-1213 2012-09-28
1801147970 Nsh Cancer Institute Professional Services G LLC Durable Medical Equipment & Medical Supplies 747 S. 8th Street, Suite C, Griffin, GA 30224-4880 2012-09-28
1710238886 Nsh Cancer Institute Professional Services G LLC Durable Medical Equipment & Medical Supplies 624 W Martin Luther King Jr Dr, Milledgeville, GA 31061-2787 2012-09-28

Office Location

Street Address 1505 NORTHSIDE BLVD
SUITE 4300
City CUMMING
State GA
Zip Code 30041-7623

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912903626 Steven A Accarino Internal Medicine 1505 Northside Blvd, Ste 3000, Cumming, GA 30041 2005-06-27
1144777178 Elham Kamarjian Pharmacist 1505 Northside Blvd, Suite 4300, Cumming, GA 30041-7623 2016-09-07
1942670187 Susan Marie Almeida Nurse Practitioner 1505 Northside Blvd, Suite 4600, Cumming, GA 30041-7623 2015-09-30
1255754172 Kathryn Turner Registered Nurse 1505 Northside Blvd, 2500, Cumming, GA 30041 2014-01-29
1215366489 Peachtree Orthopaedic Clinic, PC Durable Medical Equipment & Medical Supplies 1505 Northside Blvd, Suite 3100, Cumming, GA 30041-7623 2013-11-07
1689925745 Nsh Cancer Institute Professional Services A LLC Durable Medical Equipment & Medical Supplies 1505 Northside Blvd, Suite 4600, Cumming, GA 30041-7623 2012-09-28
1225398928 Brandi Nicole Johnson Physician Assistant 1505 Northside Blvd, Suuite 3000, Cumming, GA 30041-7623 2012-05-29
1124392949 North Pointe Ob Gyn Associates 2 LLC Obstetrics & Gynecology 1505 Northside Blvd, Suite 3500, Cumming, GA 30041-7623 2012-02-24
1609160142 Andrea Marie Sallusti Physician Assistant 1505 Northside Blvd, Suite 3000, Cumming, GA 30041-7623 2011-06-01
1750689964 Gi North PC Internal Medicine 1505 Northside Blvd, Suite 1800, Cumming, GA 30041 2011-03-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962036905 Annie Kyungjin Han Nurse Practitioner 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 2020-02-28
1295388197 Pamela Edler Pharmacist 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 2019-07-19
1720557127 Dr. Tiffany Lamonde LLC Physical Therapist 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 2018-11-15
1487140893 Bhbd LLC Chiropractor 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 2018-07-09
1891219861 Anna Gawrys Pharmacist 1525 Marketplace Blvd, Cumming, GA 30041 2017-08-01
1679029219 Square One Dental LLC Clinic/Center 3510 Rowe Lane, Cumming, GA 30041 2016-09-01
1720441454 Pavilion Psychological Services LLC Psychologist 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 2016-03-31
1346606506 American Health Imaging of Ga, LLC Clinic/Center 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 2016-01-04
1013311307 Stephen Hartle Physician Assistant 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 2014-10-15
1063828408 Stephanie Evans Wellborn Physician Assistant 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 2014-07-07
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497393508 Publix Super Markets, Inc. Durable Medical Equipment & Medical Supplies 5310 Matt Hwy, Cumming, GA 30028 2019-12-19
1699272765 The Kroger Co Durable Medical Equipment & Medical Supplies 5550 Bethelview Rd, Cumming, GA 30040 2018-04-06
1568984912 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 3655 Browns Bridge Rd, Cumming, GA 30028 2017-07-07
1548700024 First Source Catheter, Inc. Durable Medical Equipment & Medical Supplies 1690 Redi Rd, Suite 400, Cumming, GA 30040-9704 2017-03-02
1104240886 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 2395 Peachtree Pkwy, Cumming, GA 30041-7227 2014-02-14
1598019002 Southern Medical Specialists, LLC Durable Medical Equipment & Medical Supplies 2535 Bent Creek Way, Cumming, GA 30041-6342 2012-11-06
1346537230 Custom Compression Consultants, LLC Durable Medical Equipment & Medical Supplies 4925 Ashbrooke Ct, Cumming, GA 30040-9092 2011-06-30
1255568630 North Georgia Medical Solutions Corp. Durable Medical Equipment & Medical Supplies 6325 Hawkins Drive, Cumming, GA 30028-7544 2009-06-12
1235365396 Ageless Design Inc. Durable Medical Equipment & Medical Supplies 3197 Trout Place Rd, Cumming, GA 30041-8260 2009-06-03
1457505760 Georgia Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 4895 Post Rd., Cumming, GA 30040 2008-11-13
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Competitor

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City CUMMING
Zip Code 30041

Improve Information

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Dataset Information

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.

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