MIA M LUKE (NPI# 1497182455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497182455 |
| Entity Type | Individual |
| Full Name | MIA M LUKE |
| Credential | R MR |
| Practice Address |
1401 Tift Ave N Ste E Tifton GA 31794-3585 |
| Practice Telephone | 2293876799 |
| Practice Fax Number | 2293876791 |
| Mailing Telephone | 2293876799 |
| Mailing Fax Number | 2293876791 |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2013-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 247100000X | Radiologic Technologist | 409616 | GA | Technologists, Technicians & Other Technical Service Providers |
| Y | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
409616 | GA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1401 TIFT AVE N STE E |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-3585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134151079 | Tina Marie Sapp | Radiologic Technologist | 1401 Tift Ave N, Tifton, GA 31794-3585 | 2006-07-07 |
| 1952708984 | Jeremy Beck | Nurse Practitioner | 1401 Tift Ave N, Tifton, GA 31794-3585 | 2014-11-19 |
| 1598042616 | Maureen Johnson | Physician Assistant | 1401 Tift Ave N, Suite B, Tifton, GA 31794-3585 | 2011-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234043 | Deloris Lunsford | Licensed Practical Nurse | 903 Washington St., Tifton, GA 31794 | 2020-01-17 |
| 1194383075 | William Jordan Kinnett | Registered Nurse | 1205 Tift Ave N, Tifton, GA 31794 | 2019-06-05 |
| 1598321200 | Courtlyn Christanna Fussell | Pharmacist | 2201 Hwy 41 N, Tifton, GA 31794 | 2019-05-17 |
| 1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
| 1427541044 | Rebekah F Cottle | Speech-Language Pathologist | 2227 Highway 41 North, Tifton, GA 31794 | 2018-06-08 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
| 1538606306 | Imagine Peace Counseling LLC | Counselor | 223 E 2nd Street, Suite B, Tifton, GA 31794 | 2017-01-31 |
| 1073056347 | Jessica Tumbling | Contractor | 219 Savannah Way, Tifton, GA 31794 | 2016-11-18 |
| 1992159503 | Joseph Thomas Seagraves Jr. | Nurse Practitioner | 901 East 18th Street, Tifton, GA 31794 | 2016-04-20 |
| Find all providers in zip 31794 | ||||
| Taxonomy Code | 2471M1202X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Magnetic Resonance Imaging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972125227 | Svitlana N Payne | Radiologic Technologist | 593 Kelly Farm Rd, Newnan, GA 30265-1416 | 2020-05-09 |
| 1023416476 | Elizabeth Figueroa | Radiologic Technologist | 2521 Brighton Trl, Jonesboro, GA 30236-8806 | 2014-12-17 |
| 1720325087 | Jennifer Averett | Radiologic Technologist | 113a Fairview Park Dr, Dublin, GA 31021-2501 | 2013-01-07 |
| 1972740884 | Open Mri of Brunswick LLC | Radiologic Technologist | 2414 Parkwood Dr, Suite 100, Brunswick, GA 31520-4779 | 2009-01-14 |
| 1164599353 | Vidalia Open Mri, LLC | Radiologic Technologist | 3165 E 1st St, Vidalia, GA 30474-8830 | 2006-11-30 |
| 1477586568 | Dunwoody Imaging, LLC | Radiologic Technologist | 1750 Old Spring House Ln, Suite 205, Atlanta, GA 30338-6214 | 2006-07-09 |
| 1376984658 | Lloyd George Collins Jr. | Radiologic Technologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2013-07-15 |
| 1679812432 | Ashley Danielle Radford | Radiologic Technologist | 1504 Hardeman Ave, Ste B, Macon, GA 31201-1441 | 2013-02-13 |
| 1538479043 | Russell Scott Gibson | Radiologic Technologist | 1504 Hardeman Ave, Suite B, Macon, GA 31201-1441 | 2010-10-18 |
| 1104060987 | Tattnall Hospital Company, LLC | Radiologic Technologist | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2009-04-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MIA M LUKE.
| 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.