GEORGIA CANCER TREATMENT AND HEMATOLOGY CENTER
NPI 1811977648
Internal Medicine - Hematology & Oncology in Fayetteville, GA

Active since January 18, 2006
1279 HWY 54 W, SUITE 210, FAYETTEVILLE, GA 30215(770) 719-1299(770) 719-9244 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Georgia Cancer Treatment And Hematology Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGIA CANCER TREATMENT AND HEMATOLOGY CENTER (NPI 1811977648) is a healthcare organization registered as a hematology & oncology in Fayetteville, Georgia and active in the NPI registry since January 2006. The organization lists Gerald Alan Goldklang, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1811977648
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameGEORGIA CANCER TREATMENT AND HEMATOLOGY CENTER
Location Address1279 HWY 54 W, SUITE 210Fayetteville, GA 30215
Mailing Address483 Upper Riverdale Rd, Ste ERiverdale, GA 30274 · (770) 909-1550 · Fax (770) 909-1535
Fax(770) 719-9244
Organization SubpartNo
Authorized OfficialGerald Alan GoldklangMedical Director · (770) 719-1299
Enumeration DateJanuary 18, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPI 1811977648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in GA · 020714
Definition
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.
1279 HWY 54 W, Fayetteville, GA 30215

Other Identifiers 1

Medicaid00188801CGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Georgia Cancer Treatment And Hematology Center's NPI number?

The NPI number for Georgia Cancer Treatment And Hematology Center is 1811977648. It was assigned to this organization in the NPPES registry on January 18, 2006.

Where is Georgia Cancer Treatment And Hematology Center located?

Georgia Cancer Treatment And Hematology Center is located at 1279 Hwy 54 W Suite 210, Fayetteville, GA 30215. The listed phone number is (770) 719-1299.

What is Georgia Cancer Treatment And Hematology Center's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Georgia Cancer Treatment And Hematology Center was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.