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NPI 1558612622
● Active Type 2 · Organization
Nsh Cancer Institute Professional Services G Llc
Durable Medical Equipment & Medical Supplies · MacOn, GA · NPI 1558612622
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Enumerated 2012 · 13 years on NPI
Nsh Cancer Institute Professional Services G Llc is 1 of 2003 durable medical equipment & medical supplies organizations in Georgia.
NPI age
13 years
Enumerated 2012-09-28
Primary specialty
Durable Medical Equipment & Medical Supplies
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hernandez
Vp Of Admin Services And Cco
Last NPPES update
2012-12-28
Source: monthly bulk 2026-05
How this organization compares
Across 2003 active durable medical equipment & medical supplies providers in Georgia.
NPI age
13 years
≈ at median (13 yr)
Practice locations
1
0 secondary on file
NPI lifetime · 2012 → 2026
2012-09 Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
308 Coliseum Dr, Suite 120
MacOn, GA 312173865
📞 4787456130
Mailing address
1835 Savoy Dr, Suite 300
Atlanta, GA 303411072
Authorized official
Jorge J Hernandez
Vp Of Admin Services And Cco
📞 4048516378
Individual providers at this organization
16 individual providers on file at this primary practice address.
Jason Cheyney , PA C
Physician Assistant
NPI 1942207840
David Cohen , MD
Dermatology
NPI 1487652020
Judith Derriso , LCSW
Social Worker
NPI 1437148426
Caitlin Eilers , PA-C
Physician Assistant
NPI 1407234263
Cassandra Floyd , PHARMD
Pharmacist
NPI 1104165398
Johnathan Harkins , PA-C
Physician Assistant
NPI 1245061399
Jeffrey Harris , MSN
Nurse Practitioner
NPI 1396723342
Supriya Immaneni , MD
Dermatology
NPI 1497129399
Laurie Johnson , MSN
Nurse Practitioner
NPI 1407835465
David Kent , MD
Dermatology
NPI 1194722850
Premila Malhotra , MD
Internal Medicine
NPI 1285848689
Edith Morgan , MSN
Nurse Practitioner
NPI 1811976756
Chad Perry , PA C
Physician Assistant
NPI 1508980947
Vundyala Reddy , MD
Internal Medicine
NPI 1679551279
John Wade , PHARMD
Pharmacist
NPI 1679020606
Kristen Whelchel , PHARMD
Pharmacist
NPI 1497094676
Specialties
Durable Medical Equipment & Medical Supplies
Primary
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.
taxonomy 332B00000X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
16 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.