NORTHWEST GEORGIA ONCOLOGY CENTERS, PC
NPI 1992833941
Durable Medical Equipment & Medical Supplies in Canton, GA

NPI Status: Active since March 01, 2007

Contact Information

15 REINHARDT COLLEGE PKWY
SUITE 110
CANTON, GA
ZIP 30114
Phone: (770) 720-7789
Fax: (770) 720-7784

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 11D1049190
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 12-27-2025

About NORTHWEST GEORGIA ONCOLOGY CENTERS, PC

This page provides the complete NPI Profile along with additional information for Northwest Georgia Oncology Centers, Pc, a provider established in Canton, Georgia operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1992833941 assigned on March 2007. The practitioner's primary taxonomy code is 332B00000X with license number 074178000 (GA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Bruce J. Gould Md (Md Physician)

NPI
1992833941
Provider Name
NORTHWEST GEORGIA ONCOLOGY CENTERS, PC
Entity Type
Organization
Location Address
15 REINHARDT COLLEGE PKWY SUITE 110 CANTON, GA 30114
Location Phone
(770) 720-7789
Location Fax
(770) 720-7784
Mailing Address
1700 HOSPITAL SOUTH DR SUITE 300 AUSTELL, GA 30106
Mailing Phone
(770) 944-2830
Mailing Fax
(770) 720-7784
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-01-2007
Last Update Date
12-04-2012
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
074178000
License State
GA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BRUCE J. GOULD MD

Authorized Official Title
MD PHYSICIAN
Authorized Official Phone
(770) 281-5100

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1992833941OTHER (01)GASUPPLIER NPI NUMBER (CANTON)
0741780009MEDICARE NSC (07)GA 

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
11D1049190
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
December 28, 2023
Certificate Expiration Date
December 27, 2025
Laboratory Director
BHATIA DINESH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Northwest Georgia Oncology Centers, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1992833941
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29182163698
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 1 + 6 + 3 + 6 + 9 + 8 + 24 = 79
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 79 = 11

The NPI number 1992833941 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 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689635161 KHIZER KHURSHID AHMAD MD
Individual
Pediatrics15 REINHARDT COLLEGE PKWY BLDG 100 SUITE 100
CANTON, GA 30114
(770) 479-1985
1962467860 SHELDON SCOTT
Individual
Physical Therapist15 REINHARDT COLLEGE PKWY SUITE 102
CANTON, GA 30114
(678) 505-4450
1154336717DR. EDWARD DYCKMAN MD
Individual
Internal Medicine (Cardiovascular Disease)15 REINHARDT COLLEGE PKWY SUITE 110
CANTON, GA 30114
(770) 723-2383
1154329928DR. KIRK B LAMAN DO
Individual
Internal Medicine (Cardiovascular Disease)15 REINHARDT COLLEGE PKWY SUITE 110
CANTON, GA 30114
(770) 720-2383
1285669739 ANITRA SIMONE GRAVES M.D.
Individual
Internal Medicine (Pulmonary Disease)15 REINHARDT COLLEGE PKWY SUITE 108
CANTON, GA 30114
(678) 493-2527
1710159488DR. MADIHA IQBAL KHAN M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)15 REINHARDT COLLEGE PKWY SUITE 109
CANTON, GA 30114
(770) 213-2520
1659320224CHEROKEE LUNG & SLEEP SPECIALISTS, P.C.
Organization
Internal Medicine (Pulmonary Disease)15 REINHARDT COLLEGE PKWY SUITE 108
CANTON, GA 30114
(678) 493-2527

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992833941, enumerated in the NPI registry as an "organization" on March 01, 2007

The provider is located at 15 Reinhardt College Pkwy Suite 110 Canton, Ga 30114 and the phone number is (770) 720-7789

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 11D1049190 for a "end stage renal disease dialysis facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 01, 2007. 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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