NPI age
18 years
Enumerated 2008-04-30
● Active Type 2 · Organization
Northwest Georgia Oncology Centers, Pc
Northwest Georgia Oncology Centers, Pc is 1 of 2003 durable medical equipment & medical supplies organizations in Georgia.
Primary specialty
Durable Medical Equipment & Medical Supplies
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gould
Md/ Physician Medical Director
Last NPPES update
2010-11-24
Source: monthly bulk 2026-05
How this organization compares
Across 2003 active durable medical equipment & medical supplies providers in Georgia.
NPI age
18 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-04Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
148 Bill Carruth Pkwy, Suite 260
Hiram, GA 301413754
Mailing address
1700 Hospital South Dr, Suite 300
Austell, GA 301066810
Authorized official
Bruce J Gould, MD
Md/ Physician Medical Director
📞 7702815100
Individual providers at this organization
9 individual providers on file at this primary practice address.
- Timothy Brock, M.D. Surgery NPI 1679772297
- Alan Cheng, M.D. Internal Medicine NPI 1205051877
- Jessica Ebong, PA-C Physician Assistant NPI 1689406597
- Vanchad Memark, M.D. Surgery NPI 1013196492
- Christine Min, MD Radiology NPI 1609039882
- Judy Ozeryansky, P.T. Physical Therapist NPI 1033236609
- Kimberly Patterson, MPT Physical Therapist NPI 1629492442
- Tabatha Peshel, NP Nurse Practitioner NPI 1821149139
- Rebecca Vaughn, M.D. Dermatology NPI 1396754222
Specialties
-
Durable Medical Equipment & Medical Supplies PrimaryA 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1790951788 | SUPPLIER NPI NUMBER (HIRAM) |
Practice context
Multi-provider organization. 9 individual providers on file at this primary address.
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