Unknown Individual – Hematology & Oncology Physician, NPI 1154309938
Hematology & Oncology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
348 HEMATOLOGY/ONCOLOGY in GA
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Provider Addresses for Unknown Individual
Northside Boulevard, Cumming, Forsyth County, Georgia, 30041, United States
SUITE 4300
CUMMING, GA 300418209
Phone: (770) 205-1331
Fax: (770) 205-8727
Type: Location
1835 SAVOY DR
SUITE 300
ATLANTA, GA 303411072
Phone: (770) 205-1331
Fax: (770) 205-8727
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 56 Open Payments records for all available years, with a total value of $1,120.
Total Amount is formed as General ($1,120) + Research ($0) + Ownership ($0) = $1,120.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($291).
Total Amount
$1,120
General + Research + Ownership
Payments
56
Total payment records
General Amount
$1,120
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $291 |
| Daiichi Sankyo Inc. | $117 |
| PFIZER INC. | $112 |
| ARRAY BIOPHARMA INC | $96 |
| ABBVIE INC. | $73 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-07-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050706000554 | I | Hematology/Oncology | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 568 | 272 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 136 | 91 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 33 | 17 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 25 | 25 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 30041)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| - | GA | |
| - | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| - | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | AL | |
| - | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| Nurse Practitioner | GA | |
| Medical Oncology | GA |
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