UNIVERSITY CANCER & BLOOD CENTER, LLC
NPI 1346343761
Internal Medicine - Hematology & Oncology in Athens, GA
NPI Status: Active since September 07, 2006
Contact Information
3320 OLD JEFFERSON RD BLDG 800
ATHENS, GA
ZIP 30607
Phone: (706) 353-2990
Fax: (706) 353-2992
- Organization
- Internal Medicine
- Hematology & Oncology
- Accepts Insurance
- CLIA Number: 11D2162496
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-15-2026
About UNIVERSITY CANCER & BLOOD CENTER, LLC
This page provides the complete NPI Profile along with additional information for University Cancer & Blood Center, Llc, an internist established in Athens, Georgia operating as a Internal Medicine, focusing in hematology & oncology . The healthcare provider is registered in the NPI registry with number 1346343761 assigned on September 2006. The practitioner's primary taxonomy code is 207RH0003X. The provider is registered as an organization and their NPI record was last updated 2 years ago. University Cancer & Blood Center, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Loretta Lynn Goodson (Administrator)
- NPI
- 1346343761
- Provider Name
- UNIVERSITY CANCER & BLOOD CENTER, LLC
- Entity Type
- Organization
- Location Address
- 3320 OLD JEFFERSON RD BLDG 800 ATHENS, GA 30607
- Location Phone
- (706) 353-2990
- Location Fax
- (706) 353-2992
- Mailing Address
- 3320 OLD JEFFERSON ROAD BLDG 700 ATHENS, GA 30607
- Mailing Phone
- (706) 353-2990
- Mailing Fax
- (706) 353-2992
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-07-2006
- Last Update Date
- 02-09-2024
- Code Navigator
An internist like University Cancer & Blood Center, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 2151 W Spring St Ste B200
Monroe, GA 30655
(770) 267-0724 - 3320 Old Jefferson Rd Ste 600
Athens, GA 30607
(762) 356-4034 - 220 Hawthorne Park
Athens, GA 30606
(706) 548-0500 - 1460 Resurgence Dr
Watkinsville, GA 30677
(706) 715-2410 - 658 N Chase St Ste 201
Athens, GA 30601
(762) 356-4785 - 4182 Highway 278 NE
Covington, GA 30014
(678) 712-6921 - 110 Mercer Pl
Commerce, GA 30529
(706) 510-1437 - 3320 Old Jefferson Rd Bldg 300
Athens, GA 30607
(064) 101-7347 - 3991 Highway 78 W Ste 102
Snellville, GA 30039
(706) 353-2990 - 3320 Old Jefferson Rd Ste 400
Athens, GA 30607
(706) 353-2990 - 355 Clear Creek Pkwy Ste 2007
Lavonia, GA 30553
(706) 356-2934 - 119 Harmony Xing Ste 1
Eatonton, GA 31024
(762) 220-1880 - 1656 Falls Rd Ste B
Toccoa, GA 30577
(706) 886-0392 - 295 N Broad St
Winder, GA 30680
(678) 963-0939 - 3320 Old Jefferson Rd Bldg 700
Athens, GA 30607
(706) 353-2990 - 1199 Prince Ave
Athens, GA 30606
(706) 353-2990 - 2142 W Broad St Bldg 100
Athens, GA 30606
(706) 353-2990 - 1230 Baxter St
Athens, GA 30606
(706) 353-2990 - 245 Floyd Dr
Athens, GA 30607
(762) 356-4780
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Hematology & Oncology
- Taxonomy Code
- 207RH0003X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207QH0002X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207RH0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 207RX0202X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 207ZP0102X | Allopathic & Osteopathic Physicians | Pathology | |
| 7 | 2085R0001X | Allopathic & Osteopathic Physicians | Radiology | |
| 8 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 9 | 2086X0206X | Allopathic & Osteopathic Physicians | Surgery | |
| 10 | 208C00000X | Allopathic & Osteopathic Physicians | Colon & Rectal Surgery |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO HDHP 8050 10004 - EPO
- SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
- SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
- SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
- SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
- SoloCare Standard Exp Bronze EPO 10008 - EPO
- SoloCare Standard Gold EPO 10006 - EPO
- SoloCare Standard Platinum EPO 10005 - EPO
- SoloCare Standard Silver EPO 10007 - EPO
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2162496
- Facility Type
- Physician Office
- Certificate Effective Date
- August 16, 2024
- Certificate Expiration Date
- August 15, 2026
- Laboratory Director
- DR. CHARLES BODINE
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to University Cancer & Blood Center, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 4 | 6 | 3 | 4 | 3 | 7 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 6 | 4 | 6 | 7 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 6 + 4 + 6 + 7 + 1 + 2 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1346343761 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1972239440 | UNIVERSITY HEALTH ALLIANCE Organization | Internal Medicine (Hematology & Oncology) | 3320 OLD JEFFERSON RD BLDG 800 ATHENS, GA 30607 (706) 353-2990 |
| 1215664057 | MRS. CHARISSA BRIGHT LCSW Individual | Social Worker (Clinical) | 3320 OLD JEFFERSON RD BLDG 800 ATHENS, GA 30607 (706) 353-2990 |
| 1225322431 | AMANDA REDDEN HATHAWAY M.D. Individual | Internal Medicine (Hematology & Oncology) | 3320 OLD JEFFERSON RD BLDG 800 ATHENS, GA 30607 (706) 353-2990 |
| 1235506825 | DR. PRAMOD GAUDEL M.D Individual | Internal Medicine (Hematology & Oncology) | 3320 OLD JEFFERSON RD BLDG 800 ATHENS, GA 30607 (706) 353-2990 |
| 1306041900 | PETROS GEORGE NIKOLINAKOS M.D. Individual | Internal Medicine (Hematology & Oncology) | 3320 OLD JEFFERSON RD BLDG 800 ATHENS, GA 30607 (706) 353-2990 |
| 1558712307 | KRISTINA SCHULTZ TANNER APRN, MSN, FNP-C Individual | Nurse Practitioner (Family) | 3320 OLD JEFFERSON RD BLDG 800 ATHENS, GA 30607 (706) 353-2990 |
| 1649903295 | MICHELLE RANDALL CLARK LCSW Individual | Social Worker (Clinical) | 3320 OLD JEFFERSON RD BLDG 800 ATHENS, GA 30607 (706) 353-2990 |
| 1780993121 | MELISSA M DOWD FNP Individual | Nurse Practitioner (Community Health) | 3320 OLD JEFFERSON RD BLDG 800 ATHENS, GA 30607 (706) 353-2990 |
| 1821295171 | TSUNG MING HSU M.D. Individual | Family Medicine (Hospice and Palliative Medicine) | 3320 OLD JEFFERSON RD BLDG 800 ATHENS, GA 30607 (706) 353-2990 |
| 1821442138 | MEGAN LORD DUNCAN PA-C Individual | Physician Assistant (Medical) | 3320 OLD JEFFERSON RD BLDG 800 ATHENS, GA 30607 (706) 353-2990 |
| 1952567505 | DR. KUANG SHAH CHANG MD Individual | Internal Medicine (Hematology & Oncology) | 3320 OLD JEFFERSON RD BLDG 800 ATHENS, GA 30607 (706) 353-2990 |
| 1982480927 | MRS. JESSICA DEANNE HARALSON APRN, NP Individual | Nurse Practitioner (Adult Health) | 3320 OLD JEFFERSON RD BLDG 800 ATHENS, GA 30607 (706) 353-2990 |
| 1306540513 | TIFFANY LE Individual | Nurse Practitioner | 3320 OLD JEFFERSON RD BLDG 800 ATHENS, GA 30607 (706) 353-2990 |
| 1417214909 | MRS. AMY LEIGH DAVIS FNP-BC Individual | Nurse Practitioner (Family) | 3320 OLD JEFFERSON RD BLDG 800 ATHENS, GA 30607 (706) 353-2990 |
| 1285826271 | MRS. DENISE JOHNSON ALLEN NURSE PRACTITIONER Individual | Nurse Practitioner (Family) | 3320 OLD JEFFERSON RD BLDG 800 ATHENS, GA 30607 (706) 353-2990 |
| 1144662180 | MR. DAVID JOHNSON PA-C Individual | Physician Assistant | 3320 OLD JEFFERSON RD BLDG 800 ATHENS, GA 30607 (706) 353-2990 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346343761, enumerated in the NPI registry as an "organization" on September 07, 2006
The provider is located at 3320 Old Jefferson Rd Bldg 800 Athens, Ga 30607 and the phone number is (706) 353-2990
This medical organization specializes in Internal Medicine with taxonomy code 207RH0003X with a focus in Hematology & Oncology
The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 11D2162496 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on September 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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