MCOG IMAGING CENTER (NPI# 1689072548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689072548 |
| Entity Type | Organization |
| Organization Name | MCOG IMAGING CENTER |
| Practice Address |
1670 Scott Blvd Decatur GA 30033-5605 |
| Mailing Address |
1428 Scott Blvd Decatur GA 30030-1424 |
| Practice Telephone | 4045365244 |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |
| Authorized Official Name | JACQUIE JONES (DIRECTOR OF ADMINISTRATION) |
| Authorized Official Telephone | 4045365244 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
1670 SCOTT BLVD |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-5605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083988216 | Nexus Laboratories, Inc. | Clinical Medical Laboratory | 1670 Scott Blvd, Decatur, GA 30033 | 2012-03-06 |
| 1508344557 | Christy L Dickerson | Nurse Practitioner | 1670 Scott Blvd, Decatur, GA 30033-5637 | 2018-08-01 |
| 1023563194 | Sondial Pharmacy LLC | Pharmacy | 1670 Scott Blvd, Suite 208, Decatur, GA 30033-5605 | 2016-08-18 |
| 1174980155 | Alisha Virani Sanders | Nurse Practitioner | 1670 Scott Blvd, Decatur, GA 30033-5637 | 2016-01-21 |
| 1720474745 | Argon Imaging Center | Clinic/Center | 1670 Scott Blvd, Decatur, GA 30033-5605 | 2015-04-07 |
| 1316296965 | Family Practice of Atlanta Medical Group | Family Medicine | 1670 Scott Blvd, Decatur, GA 30033-5605 | 2012-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447886320 | Momentum Rehab & Therapy | Clinic/Center | 5349 Snapfinger Woods Dr, Decatur, GA 30035-4028 | 2020-03-23 |
| 1992977615 | Children's Dental Care Center, PC | Clinic/Center | 5000 Snapfinger Woods Dr, Suite B-210, Decatur, GA 30035-4085 | 2008-04-02 |
| 1023028016 | Spavinaw Clinics, Inc | Clinic/Center | 346 N. Main Street, Decatur, AR 72722-0735 | 2006-08-09 |
| 1669471728 | Atlanta Center for Medicine II PC | Clinic/Center | 2801 N Decatur Rd, Suite 300, Decatur, GA 30033-5949 | 2005-07-20 |
| 1033752571 | Premier Cardiology Care Pllc | Clinic/Center | 2301 S Fm 51 Ste 400, Decatur, TX 76234-3864 | 2019-10-28 |
| 1083180731 | Occupational Health Centers of Georgia, P.C. | Clinic/Center | 1045 Sycamore Dr, Decatur, GA 30030-1645 | 2018-10-21 |
| 1063988715 | American Currenct Care P.a. | Clinic/Center | 1045 Sycamore Dr, Decatur, GA 30030-1645 | 2018-10-21 |
| 1982129326 | Dogwood Healing Arts | Clinic/Center | 619 E College Ave Ste B, Decatur, GA 30030-5323 | 2017-08-07 |
| 1144637075 | Planned Parenthood of Illinois | Clinic/Center | 3021 N Oakland Ave, Decatur, IL 62526-1607 | 2014-07-11 |
| 1770993743 | Optiworld Medical & Vision Center, LLC | Clinic/Center | 2851 Candler Rd, Decatur, GA 30034-1416 | 2014-04-30 |
| Find all providers in DECATUR | ||||
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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.