GEORGIA CANCER SPECIALISTS I PC (NPI# 1093950685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093950685 |
| Entity Type | Organization |
| Organization Name | GEORGIA CANCER SPECIALISTS I PC |
| Practice Address |
1279 Highway 54 W Suite 210 Fayetteville GA 30214-4550 |
| Mailing Address |
1835 Savoy Dr Suite 300 Atlanta GA 30341-1072 |
| Practice Telephone | 7707191299 |
| Practice Fax Number | 7707199244 |
| Mailing Telephone | 7704953396 |
| Mailing Fax Number | 7704952307 |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |
| Authorized Official Name | DR. WENDY H LENZ (C.O.O.) |
| Authorized Official Telephone | 7706218656 |
| Authorized Official Credential | M.D. |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396953386 | Georgia Cancer Specialists I PC | Internal Medicine | 4750 Battlefield Parkway, Ringgold, GA 30736-5164 | 2007-05-21 |
| 1811075252 | Georgia Cancer Specialists I PC | Internal Medicine | 246 Odell Road, Suite 4, Griffin, GA 30224-4880 | 2006-11-02 |
| 1447266713 | Georgia Cancer Specialists I PC | Internal Medicine | 97 Hefner Street, East Ellijay, GA 30540-8268 | 2006-07-31 |
| 1942215603 | Georgia Cancer Specialists I PC | Internal Medicine | 1800 Tree Lane, Suite 180, Snellville, GA 30078-2016 | 2006-07-30 |
| 1871508523 | Georgia Cancer Specialists I PC | Internal Medicine | 214 Perry Highway, Hawkinsville, GA 31036-1038 | 2006-07-30 |
| 1215942941 | Georgia Cancer Specialists I PC | Internal Medicine | 1501 Milstead Rd Ne, Suite 110, Conyers, GA 30012-3835 | 2006-07-30 |
| 1790790459 | Georgia Cancer Specialists I PC | Internal Medicine | 1045 Southcrest Drive, Suite 200, Stockbridge, GA 30281-6113 | 2006-07-30 |
| 1417962135 | Georgia Cancer Specialists I PC | Internal Medicine | 3330 Preston Ridge Rd., Suite 110, Alpharetta, GA 30005-3707 | 2006-07-30 |
| 1134134935 | Georgia Cancer Specialists I PC | Internal Medicine | 624 W Martin Luther King Jr Drive, Milledgeville, GA 31061-2787 | 2006-07-30 |
| 1366457228 | Georgia Cancer Specialists I PC | Internal Medicine | 228 Riverstone Drive, Canton, GA 30114 | 2006-07-29 |
| Street Address |
1279 HIGHWAY 54 W SUITE 210 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-4550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629062153 | Michlene Broadney | Obstetrics & Gynecology | 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4552 | 2005-09-12 |
| 1447707427 | Tracy Dudley | Nurse Practitioner | 1279 Highway 54 W, Suite 100, Fayetteville, GA 30214-4550 | 2016-09-07 |
| 1902267123 | Marjani Jean-philippe | Advanced Practice Midwife | 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4550 | 2016-03-16 |
| 1922382274 | Jakki Nicole Robinson | Nurse Practitioner | 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4550 | 2011-10-05 |
| 1275855504 | Lindsey L Witt | Nurse Practitioner | 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4552 | 2010-03-01 |
| 1861668337 | Nicole L Sroka | Surgery | 1279 Highway 54 W, Suite 210, Fayetteville, GA 30214-4550 | 2008-05-05 |
| 1144491937 | Memorie Morgan Nichols | Physician Assistant | 1279 Highway 54 W, Suite 210, Fayetteville, GA 30214-4550 | 2008-03-19 |
| 1740473735 | Mitzie-ann Davis | Obstetrics & Gynecology | 1279 Highway 54 W, Suite 100, Fayetteville, GA 30214-4550 | 2007-08-22 |
| 1790985653 | Kristie Yancy Dyson | Obstetrics & Gynecology | 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4552 | 2007-07-19 |
| 1902007321 | Shirley Williams | Nurse Practitioner | 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4550 | 2007-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| 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 |
|---|---|---|---|---|
| 1710237185 | Hui Chen | Internal Medicine | 6387 Ramsey St Unit 140, Fayetteville, NC 28311-9442 | 2012-09-13 |
| 1548317340 | Lynsay Leighanne Brautnick | Internal Medicine | 3232 N North Hills Blvd, Fayetteville, AR 72703-4005 | 2007-01-04 |
| 1861558827 | Surajit Chaudhuri Md Pa | Internal Medicine | 1205 Cape Court, Suite B, Fayetteville, NC 28304-4404 | 2006-12-27 |
| 1649228651 | Jonathan Christopher Bender | Internal Medicine | 1265 Highway 54 W Ste 4200, Fayetteville, GA 30214 | 2006-05-04 |
| 1497727879 | Surajit Chaudhuri | Internal Medicine | 1205 Cape Ct, Suite B, Fayetteville, NC 28304-4404 | 2006-02-01 |
| 1952372120 | J Thaddeus Beck | Internal Medicine | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2006-01-27 |
| 1811977648 | Georgia Cancer Treatment and Hematology Center | Internal Medicine | 1279 Hwy 54 W, Suite 210, Fayetteville, GA 30215 | 2006-01-18 |
| 1497733992 | Daniel Joseph Carr | Internal Medicine | 132 Old Norton Rd, Suite 200, Fayetteville, GA 30215-4872 | 2006-01-04 |
| 1184602856 | Shyam L Khanwani | Internal Medicine | 132 Old Norton Rd Ste 200, Fayetteville, GA 30215-4873 | 2006-01-04 |
| 1215933239 | Trinity Hematology & Oncology Center Pa | Internal Medicine | 1209 Cape Ct, Fayetteville, NC 28304-4404 | 2005-06-23 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on GEORGIA CANCER SPECIALISTS I PC.
| 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.