INDEPENDENT DIAGNOSTIC SERVICES (NPI# 1346371531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346371531 |
Entity Type | Organization |
Organization Name | INDEPENDENT DIAGNOSTIC SERVICES |
Other Organization Name | BODY MECHANICS PHYSICAL THERAPY |
Practice Address |
550 Peachtree Street Suite 1760 Atlanta GA 30308 |
Mailing Address |
1296 Sims St Suite A Gainesville GA 30501-3850 |
Practice Telephone | 4048170734 |
Practice Fax Number | 4048170737 |
Mailing Telephone | 7702971700 |
Mailing Fax Number | 7702971702 |
Enumeration Date | 2007-03-08 |
Last Update Date | 2020-08-22 |
Authorized Official Name | GAIL CONSOLA (AR DIRECTOR) |
Authorized Official Telephone | 7702971700 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 247100000X | Radiologic Technologist | 199912 | MN | Technologists, Technicians & Other Technical Service Providers |
Other Name | Type Code |
---|---|
Body Mechanics Physical Therapy | Doing Business As Name - Organization |
Street Address |
550 PEACHTREE STREET SUITE 1760 |
City | ATLANTA |
State | GA |
Zip Code | 30308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467444570 | La'genia Mitchell-smith | Podiatrist | 550 Peachtree Street, Suite 1960, Atlanta, GA 30308-2225 | 2005-08-16 |
1083179493 | Thomas Kenneth Martin II | Physician Assistant | 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2019-02-10 |
1376046409 | Brian Joseph Sestrich | Nurse Practitioner | 550 Peachtree Street, Atlanta, GA 30308 | 2018-03-15 |
1245742329 | Chanda Waller Jackson | Nurse Practitioner | 550 Peachtree Street, Davis Fischer Bldg, Office 3245a, Atlanta, GA 30308 | 2017-10-30 |
1467979948 | Gail Lawrence Snell | Nurse Practitioner | 550 Peachtree Street, Mot, 4th Floor, Center for Heart Failure Therapy, Atlanta, GA 30308 | 2017-08-25 |
1366980617 | Alexandre D Miller | Nurse Practitioner | 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2017-02-07 |
1922471630 | Kai-tien Ho | Nurse Practitioner | 550 Peachtree Street, 3245a Emory Center for Critical Care, Atlanta, GA 30308 | 2015-11-03 |
1679822787 | Kori Williams | Physical Therapist | 550 Peachtree Street, Atlanta, GA 30308 | 2012-09-05 |
1366732638 | Patricia Rose Hwang | Hospitalist | 550 Peachtree Street, Atlanta, GA 30308 | 2011-04-07 |
1952632580 | Kimberly Dawn Orleck | Physician Assistant | 550 Peachtree Street, Suite 1600, Atlanta, GA 30308-2208 | 2010-01-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689285165 | Grace Mckinnon Cutchin | Speech-Language Pathologist | 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 | 2020-08-10 |
1063033942 | Life University | Chiropractor | 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 | 2020-05-01 |
1184254591 | Jordan Cohen | Specialist | 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 | 2020-01-24 |
1104463819 | Gary Sydney Koech IIi | Registered Nurse | Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 | 2019-12-02 |
1639728207 | Shannon Oliver Sullivan | Counselor | 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 | 2019-09-06 |
1477110187 | Ariel Alibey | Preventive Medicine | 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 | 2019-05-29 |
1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
1396211025 | Vita Judkins | Pharmacist | 240 Renaissance Pkway Ne, Unit 116, Atlanta, GA 30308 | 2018-10-20 |
1407345911 | Caitlin Cundiff | Anesthesiology | 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 | 2018-05-09 |
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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 |
---|---|---|---|---|
1033471669 | Vincent Paul Jackson | Radiologic Technologist | 4950 Glaze Dr, Atlanta, GA 30360-1702 | 2012-06-11 |
1750520482 | Alicia Fair-jemison | Radiologic Technologist | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2009-02-20 |
1184888497 | John Douglas Edwards Jr. | Radiologic Technologist | 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473 | 2008-07-16 |
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 |
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 |
1346255080 | Open Mri of Milledgeville LLC | Radiologic Technologist | 1850 North Columbia Street, Suite 3, Milledgeville, GA 31061-7113 | 2006-07-30 |
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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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.