GEORGIA TELERAD LLC (NPI# 1366675969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366675969 |
| Entity Type | Organization |
| Organization Name | GEORGIA TELERAD LLC |
| Practice Address |
200 Industrial Blvd Dublin GA 31021-2981 |
| Mailing Address |
13737 Noel Rd Suite 1600 Dallas TX 75240-1331 |
| Practice Telephone | 9732511132 |
| Enumeration Date | 2009-08-29 |
| Last Update Date | 2019-12-06 |
| Authorized Official Name | KATHY KONDAS (OFFICER) |
| Authorized Official Telephone | 9732511132 |
| 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 |
200 INDUSTRIAL BLVD |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-2981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508855321 | George P. Forsyth | Specialist | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2005-10-14 |
| 1891309357 | James Cullen Todd | Nurse Practitioner | 200 Industrial Blvd, Dublin, GA 31021-2997 | 2020-09-02 |
| 1780245969 | Aja Stokes | Dietitian, Registered | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2019-06-27 |
| 1801453832 | April Alleyne Wood | Nurse Practitioner | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2019-05-24 |
| 1700366150 | Southeast Pain LLC | Anesthesiology | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2018-08-15 |
| 1861982670 | Charity Rena Joiner | Family Medicine | 200 Industrial Blvd, Dublin, GA 31021-2997 | 2018-05-16 |
| 1871091694 | Allyson Deanne Brown | Nurse Practitioner | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2018-01-26 |
| 1538680343 | Sarah Hazim Al Mansi | Internal Medicine | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2017-06-30 |
| 1740728823 | Julie Pettis | Nurse Practitioner | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2017-02-08 |
| 1265897045 | Pdk Radiology LLC | Radiology | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2015-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| 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 |
|---|---|---|---|---|
| 1629403431 | Vijay Jyoti Pandya | Radiology | 5475 Rings Rd Ste 300, Dublin, OH 43017-7537 | 2013-09-11 |
| 1427269620 | Mary Keogan | Radiology | St James Hospital, James Street, Dublin, DUBLIN 8 | 2007-05-28 |
| 1548236193 | Dublin Open Mri & Imaging Center, PC | Radiology | 102 Corporate Sq, Dublin, GA 31021-4225 | 2006-02-24 |
| 1255338802 | Patricia A Stafford | Radiology | 6740 Perimeter Dr Ste 300, Dublin, OH 43016-8063 | 2005-06-28 |
| 1891357703 | Ohio Comprehensive Imaging | Radiology | 6810 Perimeter Dr Ste 200a, Dublin, OH 43016-8013 | 2019-07-01 |
| 1265897045 | Pdk Radiology LLC | Radiology | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2015-12-22 |
| 1366851131 | Sunny Peak Radiology Providers LLC | Radiology | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2014-08-06 |
| 1003127390 | Bay Imaging Consultants Medical Group | Radiology | 6380 Clark Ave, Dublin, CA 94568-3036 | 2010-07-01 |
| 1770651416 | Corinna Y. Chang | Radiology | 5156 Blazer Pkwy, Ste 120, Dublin, OH 43017-7317 | 2006-12-01 |
| 1427008598 | Middle Georgia Radiology, PC | Radiology | 2406 Bellevue Rd, Erin Office Park, Bldg 12, Dublin, GA 31021-2842 | 2006-05-11 |
| Find all providers in DUBLIN | ||||
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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.