GEORGIA VASCULAR INSTITUTE, LLC (NPI# 1912136524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912136524 |
Entity Type | Organization |
Organization Name | GEORGIA VASCULAR INSTITUTE, LLC |
Practice Address |
7823 Spivey Station Blvd Suite 300 Jonesboro GA 30236-2886 |
Practice Telephone | 7705064007 |
Practice Fax Number | 6786233543 |
Mailing Telephone | 7705064007 |
Mailing Fax Number | 6786233543 |
Enumeration Date | 2009-07-06 |
Last Update Date | 2009-07-06 |
Authorized Official Name | MS. PAMELA R STONEBURNER (ADMINISTRATOR) |
Authorized Official Telephone | 7705067004 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
Street Address |
7823 SPIVEY STATION BLVD SUITE 300 |
City | JONESBORO |
State | GA |
Zip Code | 30236-2886 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972605418 | Syed Sajid Hasan | Psychiatry & Neurology | 7823 Spivey Station Blvd, Suite 230, Jonesboro, GA 30236-2886 | 2006-09-04 |
1437698776 | Orthopedic Solutions, PC | Orthopaedic Surgery | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 | 2017-02-20 |
1699221648 | Northside Hospital Inc | Clinic/Center | 7823 Spivey Station Blvd, Jonesboro, GA 30236-2886 | 2016-08-30 |
1063968022 | Rebecca Mcphail | Physician Assistant | 7823 Spivey Station Blvd, Jonesboro, GA 30236-2886 | 2016-08-30 |
1437546819 | Bethany Kinsey Jagdharry | Nurse Practitioner | 7823 Spivey Station Blvd, Jonesboro, GA 30236 | 2015-04-23 |
1861891723 | Southern Crescent Physicians Group, Inc. | Surgery | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 | 2014-08-17 |
1649521717 | Nsh Cancer Institute Professional Services G, LLC | Durable Medical Equipment & Medical Supplies | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 | 2012-09-28 |
1922267129 | Southern Crescent Primary Care | Internal Medicine | 7823 Spivey Station Blvd, Suite 210, Jonesboro, GA 30236-2886 | 2008-06-03 |
1649441296 | Georgia Cancer Specialists I, PC | Internal Medicine | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 | 2008-03-21 |
1356555718 | Jason Adam Bitkowski | Surgery | 7823 Spivey Station Blvd, Suite 200, Jonesboro, GA 30236-2886 | 2007-05-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
Find all providers in zip 30236 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578982526 | John Clifton Faircloth | Radiology | 800 S Chuch St, Suite 101, Jonesboro, AR 72401 | 2014-04-07 |
1083053615 | Caraway Medical Center | Radiology | 2929 S Caraway Rd Ste 1, Jonesboro, AR 72401-7335 | 2013-06-17 |
1184984155 | Holly Jo Gonzales | Radiology | 800 S Church St Ste 101, Jonesboro, AR 72401 | 2012-05-23 |
1922121698 | Wolf E Heberlein | Radiology | 3800 E Johnson Ave, Ste E, Jonesboro, AR 72401-1931 | 2007-04-09 |
1023074002 | Jeff Mullen | Radiology | 3100 Apache Dr, Suite C1, Jonesboro, AR 72401-7404 | 2006-04-26 |
1376506980 | St.bernards Imaging Center | Radiology | 1144 E Matthews Ave, Jonesboro, AR 72401-4314 | 2006-04-07 |
1518961580 | John Kenneth Phillips | Radiology | 3024 Stadium Blvd, Jonesboro, AR 72401-7415 | 2005-06-08 |
1609878867 | Richard R Reinholtz | Radiology | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2005-06-01 |
1679715130 | Ezekiel Elliott Shotts | Radiology | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2009-03-30 |
1356516330 | Angela V Frost | Radiology | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2008-04-29 |
Find all providers in JONESBORO |
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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.