MDDC RADIOLOGY SERVICES (NPI# 1023273646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023273646 |
| Entity Type | Organization |
| Organization Name | MDDC RADIOLOGY SERVICES |
| Practice Address |
3101 Clairmont Rd Ne Suite-a Atlanta GA 30329-1044 |
| Practice Telephone | 4049827676 |
| Mailing Telephone | 4049827676 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-07-23 |
| Authorized Official Name | MR. SCOTT FOUNTAIN (MANAGING PARTNER) |
| Authorized Official Telephone | 7703643918 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
3101 CLAIRMONT RD NE SUITE-A |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-1044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083672216 | Rick Darr Mckeown | Specialist | 3101 Clairmont Rd Ne, Suite A, Atlanta, GA 30329-1015 | 2006-05-04 |
| 1346546611 | R. Darr Mckeown, Md, PC | Specialist | 3101 Clairmont Rd Ne, Atlanta, GA 30329-1044 | 2011-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164966461 | Pro Radiology, LLC | Clinic/Center | 60 Peachtree Park Dr Ne, Atlanta, GA 30309-1304 | 2016-12-06 |
| 1457705535 | American Health Imaging of Ga LLC | Clinic/Center | 6095 Barfield Rd, Suite 100, Atlanta, GA 30328-4408 | 2016-04-14 |
| 1891151064 | American Health Imaging of Ga, LLC | Clinic/Center | 6590 Powers Ferry Rd, Atlanta, GA 30339-2933 | 2016-01-04 |
| 1982960787 | Greater Georgia Radiology | Clinic/Center | 2002 Summit Blvd, Suite 300, Atlanta, GA 30319-1560 | 2012-04-05 |
| 1932362159 | Dallas Imaging Solutions LLC | Clinic/Center | 1555 Rainier Falls Dr Ne, Atlanta, GA 30329-4105 | 2008-07-08 |
| 1336287101 | Darco Development Co. | Clinic/Center | 3101-a Clairmont Rd, Atlanta, GA 30329 | 2007-02-02 |
| 1801834551 | Medica Stand-up Mri, LLC | Clinic/Center | 6590 Powers Ferry Rd Nw, Atlanta, GA 30339-2933 | 2006-06-03 |
| 1255339107 | Lifetest of Georgia, LLC | Clinic/Center | 1140 Hammond Dr Ne, Building I, Ste 9120, Atlanta, GA 30328-5338 | 2005-07-13 |
| 1194179788 | Ortho Sport & Spine Physicians Sandy Springs | Clinic/Center | 5788 Roswell Rd, Atlanta, GA 30328-4904 | 2016-04-20 |
| 1518335769 | Dunwoody Imaging LLC | Clinic/Center | 1750 Old Spring House Ln, Suite 205, Atlanta, GA 30338-6214 | 2015-09-04 |
| Find all providers in ATLANTA | ||||
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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.