VIDALIA OPEN MRI, LLC (NPI# 1164599353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164599353 |
| Entity Type | Organization |
| Organization Name | VIDALIA OPEN MRI, LLC |
| Practice Address |
3165 E 1st St Vidalia GA 30474-8830 |
| Practice Telephone | 8004741077 |
| Mailing Telephone | 8004741077 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-08-17 |
| Authorized Official Name | MR. FRANK HARRELSON JR. (OFFICE MANAGER) |
| Authorized Official Telephone | 8004741077 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
025199 | GA | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000303751E | 05 |
| Street Address |
3165 E 1ST ST |
| City | VIDALIA |
| State | GA |
| Zip Code | 30474-8830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730655374 | Abby Virginia Adams | Speech-Language Pathologist | 101 Harris Insustrial Blvd, Vidalia, GA 30474 | 2018-10-22 |
| 1467930156 | Laurel Shiver Sapp | Nurse Practitioner | 1608 Meadows Ln, Vidalia, GA 30474 | 2018-08-03 |
| 1235658931 | Mary Frances Andrews | Nurse Practitioner | 1608 Meadows Lane Suite 1, Vidalia, GA 30474 | 2017-09-13 |
| 1154714574 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 104 Andrews Street, Suite 112, Vidalia, GA 30474 | 2015-03-10 |
| 1790112571 | Tattnall Hospital Company, LLC | Surgery | 1702-a Meadows Lane, Vidalia, GA 30474 | 2013-10-10 |
| 1801235312 | Paul Anderson Youth Home, Inc. | Substance Abuse Rehabilitation Facility | 1603 Mcintosh Street, Vidalia, GA 30474 | 2013-06-18 |
| 1043591076 | Kimberly Thigpen Evans | Nurse Practitioner | 621 East First Street, Unit B, Vidalia, GA 30474 | 2011-09-03 |
| 1154614360 | Tattnall Hospital Company, LLC | Family Medicine | 1811 Edwina Drive, Vidalia, GA 30474 | 2011-05-20 |
| 1255586053 | Vidalia Medical Partners Inc. | Home Health | 801 Mcnatt Street, Vidalia, GA 30474 | 2008-11-20 |
| 1154596419 | Jill Nicole Lawrence | Speech-Language Pathologist | 1400 Ne Main St, Bethany Alf, Vidalia, GA 30474 | 2008-04-28 |
| Find all providers in zip 30474 | ||||
| Taxonomy Code | 2471M1202X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Magnetic Resonance Imaging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972125227 | Svitlana N Payne | Radiologic Technologist | 593 Kelly Farm Rd, Newnan, GA 30265-1416 | 2020-05-09 |
| 1023416476 | Elizabeth Figueroa | Radiologic Technologist | 2521 Brighton Trl, Jonesboro, GA 30236-8806 | 2014-12-17 |
| 1720325087 | Jennifer Averett | Radiologic Technologist | 113a Fairview Park Dr, Dublin, GA 31021-2501 | 2013-01-07 |
| 1972740884 | Open Mri of Brunswick LLC | Radiologic Technologist | 2414 Parkwood Dr, Suite 100, Brunswick, GA 31520-4779 | 2009-01-14 |
| 1477586568 | Dunwoody Imaging, LLC | Radiologic Technologist | 1750 Old Spring House Ln, Suite 205, Atlanta, GA 30338-6214 | 2006-07-09 |
| 1376984658 | Lloyd George Collins Jr. | Radiologic Technologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2013-07-15 |
| 1679812432 | Ashley Danielle Radford | Radiologic Technologist | 1504 Hardeman Ave, Ste B, Macon, GA 31201-1441 | 2013-02-13 |
| 1538479043 | Russell Scott Gibson | Radiologic Technologist | 1504 Hardeman Ave, Suite B, Macon, GA 31201-1441 | 2010-10-18 |
| 1104060987 | Tattnall Hospital Company, LLC | Radiologic Technologist | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2009-04-24 |
| 1164646139 | Orthoatlanta, LLC | Radiologic Technologist | 6300 Hospital Pkwy, Suite 400, Johns Creek, GA 30097-1828 | 2007-04-12 |
| Find all providers with the same taxonomy | ||||
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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.