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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | RAILROAD MEDICARE | P00307290 | 01 |
Street Address |
1850 NORTH COLUMBIA STREET SUITE 3 |
City | MILLEDGEVILLE |
State | GA |
Zip Code | 31061-7113 |
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 |
Find all providers in zip 31061 |
Taxonomy Code | 247100000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
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. |
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 |
Find all providers with the same taxonomy |
City | MILLEDGEVILLE |
Zip Code | 31061 |
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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.