GEORGIA CANCER SPECIALISTS I, PC (NPI# 1649441296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649441296 |
Entity Type | Organization |
Organization Name | GEORGIA CANCER SPECIALISTS I, PC |
Practice Address |
7823 Spivey Station Blvd Suite 300 Jonesboro GA 30236-2886 |
Mailing Address |
1835 Savoy Dr Suite 300 Atlanta GA 30341-1072 |
Practice Telephone | 7706929371 |
Practice Fax Number | 7706929375 |
Mailing Telephone | 7704953396 |
Mailing Fax Number | 7704952307 |
Enumeration Date | 2008-03-21 |
Last Update Date | 2011-03-30 |
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 |
037065 | GA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821076241 | Georgia Cancer Specialists I, PC | Specialist | 1835 Savoy Dr, Suite 300, Atlanta, GA 30341-1072 | 2006-01-05 |
1013215938 | Georgia Cancer Specialists I, PC | Internal Medicine | 3886 Princeton Lakes Way Sw, Suite 200, Atlanta, GA 30331-5511 | 2011-03-01 |
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 |
1497760110 | Georgia Cancer Specialists I, PC | Internal Medicine | 33 Upper Riverdale Rd Sw, Suite 121, Riverdale, GA 30274-2626 | 2006-07-30 |
Street Address |
7823 SPIVEY STATION BLVD SUITE 300 |
City | JONESBORO |
State | GA |
Zip Code | 30236-2886 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972605418 | Syed Sajid Hasan | Psychiatry & Neurology | 7823 Spivey Station Blvd, Suite 230, Jonesboro, GA 30236-2886 | 2006-09-04 |
1437698776 | Orthopedic Solutions, PC | Orthopaedic Surgery | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 | 2017-02-20 |
1699221648 | Northside Hospital Inc | Clinic/Center | 7823 Spivey Station Blvd, Jonesboro, GA 30236-2886 | 2016-08-30 |
1063968022 | Rebecca Mcphail | Physician Assistant | 7823 Spivey Station Blvd, Jonesboro, GA 30236-2886 | 2016-08-30 |
1437546819 | Bethany Kinsey Jagdharry | Nurse Practitioner | 7823 Spivey Station Blvd, Jonesboro, GA 30236 | 2015-04-23 |
1861891723 | Southern Crescent Physicians Group, Inc. | Surgery | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 | 2014-08-17 |
1649521717 | Nsh Cancer Institute Professional Services G, LLC | Durable Medical Equipment & Medical Supplies | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 | 2012-09-28 |
1912136524 | Georgia Vascular Institute, LLC | Radiology | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 | 2009-07-06 |
1922267129 | Southern Crescent Primary Care | Internal Medicine | 7823 Spivey Station Blvd, Suite 210, Jonesboro, GA 30236-2886 | 2008-06-03 |
1356555718 | Jason Adam Bitkowski | Surgery | 7823 Spivey Station Blvd, Suite 200, Jonesboro, GA 30236-2886 | 2007-05-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
Find all providers in zip 30236 |
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 |
---|---|---|---|---|
1588620025 | Suapsan Singhapakdi | Internal Medicine | 216 Arrowhead Blvd, Jonesboro, GA 30236 | 2006-04-25 |
1700846045 | David A Nixon | Internal Medicine | 4808e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-03-23 |
1689643751 | Ronald J Blachly | Internal Medicine | 4808 E Johnson Ave, Jonesboro, AR 72401-8413 | 2006-03-14 |
1184968661 | Cancer Care Associates Inc | Internal Medicine | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2012-11-21 |
1124231816 | Scott A. Dorroh | Internal Medicine | 4808 E Johnson Ave, Hem/onc Dept., Jonesboro, AR 72401 | 2007-05-08 |
1770659328 | Michael F Doherty | Internal Medicine | 2400 Mount Zion Parkway, Department of Hematology Oncology, Jonesboro, GA 30236 | 2006-11-27 |
1508801978 | Jyothirmai Kondapaneni | Internal Medicine | 2400 Mt Zion Parkway, Kp Southwood Medical Center, Jonesboro, GA 30236 | 2006-06-18 |
1659323608 | Mazen Khalil | Internal Medicine | 300 Carson St, Jonesboro, AR 72401-3104 | 2006-05-17 |
1821058991 | Carroll D. Scroggin | Internal Medicine | 4808e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-03-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881212553 | Tennessee Oncology, Pllc | Internal Medicine | 4645 Battlefield Pkwy, Ringgold, GA 30736-8011 | 2020-07-09 |
1265077234 | Hannah Alexis Tunks | Internal Medicine | 1504 N Thornton Ave Ste 102, Dalton, GA 30720-8394 | 2019-11-13 |
1538669296 | Nizar Jacques J Bahlis | Internal Medicine | Winship Cancer Institute 1365 Clifton Rd Building C, Atlanta, GA 30322-0001 | 2018-02-19 |
1831519891 | Arelis Salas Robinson | Internal Medicine | 1700 Tree Ln Ste 490, Snellville, GA 30078-6756 | 2014-04-17 |
1386063964 | Harpaul Gill | Internal Medicine | 3400c Old Milton Pkwy Ste 400, Alpharetta, GA 30005-4438 | 2014-04-10 |
1144664251 | Cancer Center of Middle Georgia, LLC | Internal Medicine | 2400 Bellevue Road, Suite 26 Erin Office Park, Dublin, GA 31021-2989 | 2013-04-19 |
1942588918 | Gustavo Figueiredo Marcondes Westin | Internal Medicine | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2011-07-25 |
1598085193 | Mehmet Asim Bilen | Internal Medicine | Winship Cancer Institute of Emory University, 1365c Clifton Road, Atlanta, GA 30322-0001 | 2010-06-04 |
1336477934 | Satilla Cancer Treatment Centers, LLC | Internal Medicine | 2406 Bellevue Avenue, #7, Dublin, GA 31021-0000 | 2009-11-20 |
1770722431 | Satilla Regional Cancer Treatment Center | Internal Medicine | 101 Seymour Ave, Douglas, GA 31533-1917 | 2009-02-19 |
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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.