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).
| 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. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| NSH CIPS G | Other Name - Individual/Organization |
| 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 |
| Street Address |
1505 NORTHSIDE BLVD SUITE 4300 |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-7623 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 30041 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| 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 |
| Find all providers in CUMMING | ||||
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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.