GEORGIA CANCER SPECIALISTS I PC (NPI# 1790790459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790790459 |
| Entity Type | Organization |
| Organization Name | GEORGIA CANCER SPECIALISTS I PC |
| Practice Address |
1045 Southcrest Drive Suite 200 Stockbridge GA 30281-6113 |
| Mailing Address |
1835 Savoy Dr Suite 300 Atlanta GA 30341-1072 |
| Practice Telephone | 6782890549 |
| Practice Fax Number | 6782898756 |
| Mailing Telephone | 7704953396 |
| Mailing Fax Number | 7704962307 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2008-02-20 |
| Authorized Official Name | DR. WENDY HAWKE (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 |
| 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 |
| 1336375344 | Georgia Cancer Specialists I PC | Internal Medicine | 20 Francis Way, Suite 130, Sharpsburg, GA 30277-3589 | 2009-06-04 |
| Street Address |
1045 SOUTHCREST DRIVE SUITE 200 |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-6113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043765720 | Amanda J Raynor | Nurse Practitioner | 1045 Southcrest Drive, Suite 110, Stockbridge, GA 30281-6113 | 2016-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| 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 |
|---|---|---|---|---|
| 1659558823 | Ha Nguyen Tran | Internal Medicine | 1240 Eagles Landing Pkwy Ste 260, Stockbridge, GA 30281-5173 | 2008-01-29 |
| 1306824800 | Padrica Hopkins-menchion | Internal Medicine | 1045 Southcrest Dr Ste 200, Stockbridge, GA 30281-6113 | 2006-01-04 |
| 1770719650 | Moyosore M. Suleiman | Internal Medicine | 1045 Southcrest Dr Ste 200, Stockbridge, GA 30281-6113 | 2009-06-05 |
| 1275778862 | Georgia Cancer Specialists I PC | Internal Medicine | 1215 Eagles Landing Pkwy, Suite 206, Stockbridge, GA 30281-7279 | 2008-12-10 |
| 1477647410 | Anthony C Onyegbula | Internal Medicine | 7444 Hannover Pkwy S, Suite 150, Stockbridge, GA 30281-9303 | 2006-10-03 |
| 1609893072 | Ruth R. Sarmiento | Internal Medicine | 1045 Southcrest Dr, Ste. 200, Stockbridge, GA 30281-6113 | 2006-07-16 |
| 1902884414 | Jorge A Spinolo | Internal Medicine | 1045 Southcrest Dr Ste 200, Stockbridge, GA 30281-6113 | 2006-01-04 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
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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.