OPEN MRI OF MILLEDGEVILLE LLC


Address: 1850 North Columbia Street, Suite 3, Milledgeville, GA 31061-7113
Phone: 4784534101

OPEN MRI OF MILLEDGEVILLE LLC (NPI# 1346255080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346255080
Entity Type Organization
Organization Name OPEN MRI OF MILLEDGEVILLE LLC
Practice Address 1850 North Columbia Street
Suite 3
Milledgeville
GA 31061-7113
Mailing Address Po Box 933274
Atlanta
GA 31193-3274
Practice Telephone 4784534101
Practice Fax Number 7062563454
Mailing Telephone 8665607610
Mailing Fax Number 7062563454
Enumeration Date 2006-07-30
Last Update Date 2020-10-28
Authorized Official Name TRACI BROWN (DIRECTOR OF BILLING)
Authorized Official Telephone 7062563450
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 247100000X Radiologic Technologist Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA RAILROAD MEDICARE P00307290 01

Office Location

Street Address 1850 NORTH COLUMBIA STREET
SUITE 3
City MILLEDGEVILLE
State GA
Zip Code 31061-7113

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861007403 Caring Clinic LLC Nurse Practitioner 114 Wrights Dr, Milledgeville, GA 31061 2020-09-10
1629619945 Gini M Ellis Counselor Blandy Way Office Park 60, Highway 22 West, Milledgeville, GA 31061 2019-10-08
1356992275 Community Health Care Systems, Inc Clinic/Center 100 N Abc Street, Milledgeville, GA 31061 2019-09-23
1467923805 Adam Tocio Specialist/Technologist 350 W. Washington St., Milledgeville, GA 31061 2018-12-11
1487170304 Aubrey Martin Specialist/Technologist 251 S Clark St., Milledgeville, GA 31061 2017-08-22
1427573054 Heritagefirst Home Care Inc. In Home Supportive Care 1277 Twin Pine Road, Milledgeville, GA 31061 2017-08-04
1851813893 Brittany Shantrel Primas Nurse Practitioner 102 A Airport Road Ne, Milledgeville, GA 31061 2017-07-12
1609300839 Samantha Weldon Behavioral Analyst 174 Stewart Dr Nw, Milledgeville, GA 31061 2017-04-14
1427425230 Foster Deariso Specialist/Technologist 251 S Clarke St, Milledgeville, GA 31061 2015-08-27
1023406279 Llewelyn Garillos Occupational Therapist 3789 Sinclair Dam Road Ne, Milledgeville, GA 31061 2014-12-22
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Taxonomy Information

Taxonomy Code 247100000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist

Taxonomy Definition

An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801281100 On-site Imaging Solutions LLC Radiologic Technologist 10755 Brunson Dr, Johns Creek, GA 30097-8465 2015-04-02
1013318948 Patti Catlett Radiologic Technologist 3060 Cypress Cv, Ball Ground, GA 30107-2675 2014-09-10
1033471669 Vincent Paul Jackson Radiologic Technologist 4950 Glaze Dr, Atlanta, GA 30360-1702 2012-06-11
1184870115 David Anthony Hardwick Radiologic Technologist 3198 Trinity Mill Cir, Dacula, GA 30019-1036 2008-08-11
1154584555 Kathy C Isley Radiologic Technologist Lockheed Martin Aeronautics Co, 86 South Cobb Drive, Dept Re2m, Zone 0454, Marietta, GA 30063-0001 2008-07-07
1639298276 Brian L Jones Radiologic Technologist 203 Pineywood Rd, Griffin, GA 30224-4964 2007-03-28
1134151079 Tina Marie Sapp Radiologic Technologist 1401 Tift Ave N, Tifton, GA 31794-3585 2006-07-07
1265421614 Greene David Mock Radiologic Technologist 34 Diana Dr, Savannah, GA 31406-7510 2005-10-18
1750908927 Cassidy Davis Radiologic Technologist 501 Redmond Rd Nw, Rome, GA 30165-1415 2020-07-02
1245852805 Cristina Royce Radiologic Technologist 35 Hospital Rd, Blairsville, GA 30512-3139 2020-05-17
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Competitor

Search similar providers

City MILLEDGEVILLE
Zip Code 31061

Improve Information

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Dataset Information

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.

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