PHYSICIANS MRI INC (NPI# 1730158601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730158601 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS MRI INC |
| Other Organization Name | OPEN MRI OF MACON |
| Practice Address |
1504 Hardeman Ave Suite B Macon GA 31201 |
| Mailing Address |
Po Box 4003 Macon GA 31208 |
| Practice Telephone | 4787453135 |
| Practice Fax Number | 4787453136 |
| Mailing Telephone | 4787559966 |
| Mailing Fax Number | 4787559964 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-11-28 |
| Authorized Official Name | PETER O HOLLIDAY III (DIRECTOR) |
| Authorized Official Telephone | 4784742360 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Open MRI of Macon | Doing Business As Name - Organization |
| Street Address |
1504 HARDEMAN AVE SUITE B |
| City | MACON |
| State | GA |
| Zip Code | 31201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679812432 | Ashley Danielle Radford | Radiologic Technologist | 1504 Hardeman Ave, Ste B, Macon, GA 31201-1441 | 2013-02-13 |
| 1083951867 | Tricia Marie Mizell | Radiologic Technologist | 1504 Hardeman Ave, Suite B, Macon, GA 31201-1441 | 2013-01-14 |
| 1538479043 | Russell Scott Gibson | Radiologic Technologist | 1504 Hardeman Ave, Suite B, Macon, GA 31201-1441 | 2010-10-18 |
| 1114077401 | Casey Lee Fordham | Radiologic Technologist | 1504 Hardeman Ave, Macon, GA 31201-1416 | 2007-01-11 |
| 1821101783 | David L Burdett | Radiologic Technologist | 1504 Hardeman Ave, Ste B, Macon, GA 31201-1416 | 2006-08-16 |
| 1275544652 | Judy Lynn Cooper | Radiologic Technologist | 1504 Hardeman Ave, Suite B, Macon, GA 31201-1416 | 2006-08-10 |
| 1568473957 | Christopher Shannon Harris | Radiologic Technologist | 1504 Hardeman Ave, Suite B, Macon, GA 31201-1416 | 2006-08-10 |
| 1801807201 | Deborah Ann Kovalick-leggett | Radiologic Technologist | 1504 Hardeman Ave, Suite B, Macon, GA 31201-1416 | 2006-08-10 |
| 1891706214 | Duane Ennis | Radiologic Technologist | 1504 Hardeman Ave, Suite B, Macon, GA 31201-1416 | 2006-08-10 |
| 1922019355 | Jason Edward Wilder | Radiologic Technologist | 1504 Hardeman Ave, Suite B, Macon, GA 31201-1416 | 2006-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| Find all providers in zip 31201 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| 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 |
| 1093372666 | James Zimmerman Md | Clinic/Center | 6050 Peachtree Pkwy Ste 400, Peachtree Corners, GA 30092-3477 | 2019-05-20 |
| 1730485269 | Direct Medical Imaging | Clinic/Center | 999 Chestnut St Se, Gainesville, GA 30501-6956 | 2011-02-01 |
| 1689983777 | Peachtree Mri LLC | Clinic/Center | 1380 Carlysle Park Dr, Lawrenceville, GA 30044-2249 | 2010-10-06 |
| 1770732968 | Hospital Authority of Effingham County | Clinic/Center | 110 Goshen Road, Rincon, GA 31326 | 2008-09-12 |
| 1619199932 | Presgar Imaging of Augusta, LLC | Clinic/Center | 3610 Wheeler Road, Augusta, GA 30909 | 2007-05-03 |
| 1285701482 | Orthopedic Center PC | Clinic/Center | 1601 Fair Rd Ste 1100, Statesboro, GA 30458-0801 | 2006-11-30 |
| 1699860130 | Elite Mri of Laurens, LLC | Clinic/Center | 113 Fairview Park Drive, #a, Dublin, GA 31021 | 2006-10-03 |
| 1205886348 | Royston Diagnostic Center, LLC | Clinic/Center | 930 Franklin Springs St, Royston, GA 30662-3908 | 2006-05-11 |
| 1386609303 | Diagnostic Imaging Solutions | Clinic/Center | 2140 Buford Hwy, Suite 108, Buford, GA 30518-6120 | 2006-04-20 |
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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.