SOUTHERN ONCOLOGY SPECIALISTS, PLLC (NPI# 1558879965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558879965 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ONCOLOGY SPECIALISTS, PLLC |
| Practice Address |
10030 Gilead Rd Ste 290 Huntersville NC 28078 |
| Mailing Address |
10030 Gilead Rd Ste 290 Huntersville NC 28078-7545 |
| Practice Telephone | 9802132720 |
| Practice Fax Number | 8778818455 |
| Mailing Telephone | 7046597848 |
| Mailing Fax Number | 8778818455 |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | WILLIAM R MITCHELL (PRESIDENT) |
| Authorized Official Telephone | 7046597848 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
13089 | NC | Suppliers |
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336455674 | Southern Oncology Specialists, Pllc | Specialist | 10030 Gilead Rd, Suite 290, Huntersville, NC 28078 | 2010-08-24 |
| Street Address |
10030 GILEAD RD STE 290 |
| City | HUNTERSVILLE |
| State | NC |
| Zip Code | 28078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477582807 | Xavier Alfred Harrison | Physician Assistant | 10030 Gilead Rd Ste 290, Huntersville, NC 28078-7545 | 2006-06-30 |
| 1417589318 | Caroline Jane Heys | Physician Assistant | 10030 Gilead Rd Ste 290, Huntersville, NC 28078-7545 | 2020-02-08 |
| 1215569314 | Bess Asimos Whitmore | Physician Assistant | 10030 Gilead Rd Ste 290, Huntersville, NC 28078-7545 | 2020-02-06 |
| 1063968337 | Christofer Kepinski | Pharmacist | 10030 Gilead Rd Ste 290, Huntersville, NC 28078-7545 | 2016-08-28 |
| 1720477169 | Wayne Woodbury | Pharmacist | 10030 Gilead Rd Ste 290, Huntersville, NC 28078-7545 | 2015-01-22 |
| 1669876447 | Poras Kamlesh Patel | Internal Medicine | 10030 Gilead Rd Ste 290, Huntersville, NC 28078-7545 | 2014-10-22 |
| 1700897121 | Jack Burton | Internal Medicine | 10030 Gilead Rd Ste 290, Huntersville, NC 28078-7545 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1316587082 | Blake Allen Klessig | Chiropractor | 8936 Northpointe Executive Park Dr, Suite 195, Huntersville, NC 28078 | 2020-01-10 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1851856306 | Jessica Runnion | Behavior Technician | 14625 Reese Blvd, Apartment 208, Huntersville, NC 28078 | 2019-02-08 |
| 1568935401 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 111 Commerce Centre Drive, Suite 305, Huntersville, NC 28078 | 2019-01-03 |
| 1932691763 | Shakira Grier | Massage Therapist | 15905 Brookway Drive, Ste 4202, Huntersville, NC 28078 | 2018-06-06 |
| 1457850596 | Chudney Drew | Counselor | 10224 Hickorywood Hill Ave Ste 201, Huntersville, NC 28078 | 2018-02-05 |
| 1215457122 | Amy Nicole Castongia | Counselor | 10511 Drake Hill Dr, Huntersville, NC 28078 | 2017-06-21 |
| 1457714057 | Robin D Disbro | Registered Nurse | 6216 Colonial Garden Drive, Huntersville, NC 28078 | 2016-03-31 |
| 1144695545 | Huntersville H&r Ops Limited Partnership | Skilled Nursing Facility | 13835 Boren Street, Huntersville, NC 28078 | 2015-12-10 |
| Find all providers in zip 28078 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598312118 | Novant Health Pharmacy Services LLC | Pharmacy | 8401 University Exec Park Dr Ste 127, Charlotte, NC 28262-1358 | 2019-08-19 |
| 1902374127 | Appalachian Specialty Pharmacy | Pharmacy | 932 Hendersonville Rd Ste 106, Asheville, NC 28803-6619 | 2018-11-06 |
| 1164803698 | Affinity Specialty Pharmacy Inc | Pharmacy | 1070 Tunnel Rd Bldg 3, Asheville, NC 28805-2014 | 2015-06-10 |
| 1164834867 | Ward Specialty Pharmacy LLC | Pharmacy | 3646 Sunset Ave, Suite 110 Barkley Square, Rocky Mount, NC 27804 | 2014-05-29 |
| 1093071698 | Rx Care of Nc LLC | Pharmacy | 11304 Hawthorne Dr Ste 120, Mint Hill, NC 28227-9467 | 2012-04-09 |
| 1174784292 | Cleveland Compounding Inc | Pharmacy | 701 2 East Grover St, Shelby, NC 28150 | 2008-06-20 |
| 1235205873 | Mast Drug Co Inc | Pharmacy | 501 S Chestnut St, Henderson, NC 27536-4102 | 2006-11-27 |
| 1891881769 | College Pharmacy, Inc. Ant | Pharmacy | 4217 S New Hop Rd, Suite 101, Gastonia, NC 28056 | 2006-10-05 |
| 1093750226 | Greer Laboratories Inc. | Pharmacy | 639 Nuway Circle Ne, Lenoir, NC 28645 | 2006-06-19 |
| 1043203623 | Respiratory At Home Plus | Pharmacy | 110 Oakcrest Dr, Marion, NC 28752-4976 | 2005-08-29 |
| Find all providers with the same taxonomy | ||||
| City | HUNTERSVILLE |
| Zip Code | 28078 |
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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.