AVERY PARTNERS, LLC (NPI# 1306140215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306140215 |
Entity Type | Organization |
Organization Name | AVERY PARTNERS, LLC |
Practice Address |
1455 Old Alabama Rd Ste 160 Roswell GA 30076-2167 |
Practice Telephone | 8889660214 |
Practice Fax Number | 6783674603 |
Mailing Telephone | 8889660214 |
Mailing Fax Number | 6783674603 |
Enumeration Date | 2011-01-06 |
Last Update Date | 2011-01-21 |
Authorized Official Name | MRS. PRISCILLA B WHITMAN (EXECUTIVE VICE PRESIDENT) |
Authorized Official Telephone | 8889660214 |
Authorized Official Credential | ULTRASOUND TECH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | MOBILE ULTRASOUND, X-RAY; BONE DENSITY, ETC | 1306140215 | 01 |
Street Address |
1455 OLD ALABAMA RD STE 160 |
City | ROSWELL |
State | GA |
Zip Code | 30076-2167 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
Find all providers in zip 30076 |
Taxonomy Code | 335V00000X |
Grouping | Suppliers |
Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215316435 | Jlm X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1015 Canton Street, Roswell, GA 30075 | 2015-05-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982185237 | Guillaume J Pinguet | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4760 Austell Rd Ste A, Austell, GA 30106-2007 | 2018-08-24 |
1790288587 | Acc3 International, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3340 Peachtree Rd Ne Ste 2025, Atlanta, GA 30326-1084 | 2018-03-17 |
1053858761 | Mobile Medical Imaging of Coastal Georgia, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5906 Hwy 21 S, Unit 4, Springfield, GA 31326-5505 | 2017-01-20 |
1013392315 | Schryver Medical Sales and Marketing, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3500 Lenox Rd Ne, Suite 1500, Atlanta, GA 30326-4228 | 2015-07-28 |
1144609876 | Optimus Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 252 Holt Ave, Macon, GA 31201-1227 | 2015-05-27 |
1023410842 | The Pink Ribbon Mammography and Diagnostic Radiology Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 33 Darbys Ave, Hiram, GA 30141-4143 | 2014-09-24 |
1477826493 | Mobile Physician Services, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1171 Laurel Pointe, Bogart, GA 30622-2859 | 2012-02-22 |
1700190105 | Source Diagnostics of Georgia, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5559 Thomaston Rd, Macon, GA 31220-8120 | 2010-07-28 |
1164670667 | Home Care Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 187 Sherwood Forest Dr, Douglasville, GA 30134-5808 | 2008-09-09 |
1588708119 | Sinorien Healthcare Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1462 Montreal Rd Ste 112, Tucker, GA 30084-6904 | 2007-02-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.