AMERICAN HEALTH IMAGING OF GEORGIA LLC


Address: 1103 Fountain Lake Dr, Brunswick, GA 31525-3039
Phone: 4042975207

AMERICAN HEALTH IMAGING OF GEORGIA LLC (NPI# 1548785330) 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) 1548785330
Entity Type Organization
Organization Name AMERICAN HEALTH IMAGING OF GEORGIA LLC
Other Organization Name AMERICAN HEALTH IMAGING OF BRUNSWICK, LLC
Practice Address 1103 Fountain Lake Dr
Brunswick
GA 31525-3039
Mailing Address Po Box 933367
Atlanta
GA 31193-3367
Practice Telephone 4042975207
Practice Fax Number 4044788944
Mailing Telephone 4042975207
Mailing Fax Number 4044788944
Enumeration Date 2017-08-14
Last Update Date 2020-09-01
Authorized Official Name JANE TRAVIS LUTZ (MANAGER OF CREDENTIALING)
Authorized Official Telephone 7043625391
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
American Health Imaging of Brunswick, LLC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1053922567 American Health Imaging of Georgia LLC Clinic/Center 30 Janet Dr # 101, Savannah, GA 31405-5518 2020-08-10
1881218964 American Health Imaging of Georgia LLC Clinic/Center 30 Janet Dr, Savannah, GA 31405-5518 2020-06-03
1659304772 American Health Imaging of Georgia LLC Clinic/Center 1275 Highway 54 W, Suite 100, Fayetteville, GA 30214-4549 2006-07-09

Office Location

Street Address 1103 FOUNTAIN LAKE DR
City BRUNSWICK
State GA
Zip Code 31525-3039

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063905990 Jonathon Wesley Capps Physician Assistant 1111 Glynco Pkwy Bldg 1, Ste 10, Brunswick, GA 31525 2018-06-14
1366993628 Hands Down Muscle Restoration, Inc Homeopath 1212 Chapel Crossing Road, Brunswick, GA 31525 2016-10-20
1619424173 Jebediah S Christy Dds - Brunswick Pllc Dentist 11455 Canal Crossing, Brunswick, GA 31525 2016-09-01
1831545508 Heller Family Medicine, LLC General Practice 208 Scranton Connector Ste 120, Brunswick, GA 31525 2016-05-11
1437525391 Natisha Danielle Hill Occupational Therapy Assistant 138 Wingefield Commons Drive, Brunswick, GA 31525 2015-08-14
1811269632 Solar Family Practice Family Medicine 122 Scranton Connector, Suite 112, Brunswick, GA 31525 2012-02-09
1700187895 Chetan Patel Pharmacist 12 Woodfall Ct, Brunswick, GA 31525 2010-11-05
1194914275 Dialysis of Golden Isles, LLC Clinic/Center 475 Gateway Center Blvd, Brunswick, GA 31525 2007-10-15
1902939325 Gateway Behavioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 111 Frazier Street, Brunswick, GA 31525 2007-03-14
1609909498 Gateway Behavioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 115 Frazier Road, Brunswick, GA 31525 2007-03-13
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801980875 Healthscan Clinic/Center 11 Gable Ct, Brunswick, GA 31525-6738 2006-10-03
1487748455 Healthscanl Clinic/Center 2414 Parkwood Dr # B, Brunswick, GA 31520-4721 2006-10-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770101701 Clear Imaging LLC Clinic/Center 5730 Glenridge Dr Ste T300, Sandy Springs, GA 30328-5871 2020-07-07
1881218964 American Health Imaging of Georgia LLC Clinic/Center 30 Janet Dr, Savannah, GA 31405-5518 2020-06-03
1952948291 Catching Point Physician Centers, LLC Clinic/Center 3333 Old Milton Pkwy Ste G100, Alpharetta, GA 30005-0008 2019-12-05
1447802780 American Health Imaging of Ga LLC Clinic/Center 2851 Washington Rd, Augusta, GA 30909-2131 2019-07-16
1700445582 American Health Imaging of Ga LLC Clinic/Center 4374 Atlanta Hwy Ste 125, Hiram, GA 30141-1852 2019-06-06
1508425380 American Health Imaging of Ga LLC Clinic/Center 796 Church St Ne Ste 100, Marietta, GA 30060-7228 2019-06-06
1588229918 Synergy Radiology, LLC Clinic/Center 6025 Professional Pkwy Ste 104, Douglasville, GA 30134-5610 2019-05-01
1134645351 M & B Imaging, PC Clinic/Center 2485 Jefferson Rd, Athens, GA 30607-1202 2017-08-18
1164966461 Pro Radiology, LLC Clinic/Center 60 Peachtree Park Dr Ne, Atlanta, GA 30309-1304 2016-12-06
1861848137 T. Bibbs Hair Restoration & Healthcare Clinic/Center 1226 Royal Dr Sw Ste B, Conyers, GA 30094-5926 2016-05-05
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Competitor

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City BRUNSWICK
Zip Code 31525

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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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