Provider Type Icon

NORTHWEST GEORGIA ONCOLOGY CENTERS PC NPI 1619005667


NPI Information

NPI: 1619005667
Provider Name: NORTHWEST GEORGIA ONCOLOGY CENTERS, PC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
705 DALLAS HWY
STE 205
VILLA RICA, GA
ZIP 30180
Phone: (770) 771-5935
Get Directions

NORTHWEST GEORGIA ONCOLOGY CENTERS, PC is a durable medical equipment medical supplies in Villa Rica, GA. The provider is 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. NORTHWEST GEORGIA ONCOLOGY CENTERS, PC NPI is 1619005667. The provider is registered as an organization entity type.

The provider's business location address is:

705 DALLAS HWY
STE 205
VILLA RICA, GA
ZIP 30180-247
Phone: (770) 771-5935
Fax: (770) 456-3407

The provider's authorized official is Bruce J Gould .
The authorized official title is Md Physician and has the following contact phone number (770) 281-5100.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 12/9/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies074178000GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1169005667OTHERGEORGIASUPPLIER NUMBER (VILLA RICA)
20741780003MEDICARE NSCGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.