BRIGHT HORIZON IMAGING LLC (NPI# 1437289600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437289600 |
| Entity Type | Organization |
| Organization Name | BRIGHT HORIZON IMAGING LLC |
| Practice Address |
3635 Braselton Hwy Suite A Dacula GA 30019-1068 |
| Practice Telephone | 8668602576 |
| Practice Fax Number | 7707716931 |
| Mailing Telephone | 7707716930 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CALVIN FERRIER (TECHNICAL DIRECTOR) |
| Authorized Official Telephone | 8668602576 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
GA | Ambulatory Health Care Facilities |
| Street Address |
3635 BRASELTON HWY SUITE A |
| City | DACULA |
| State | GA |
| Zip Code | 30019-1068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205810975 | Alan Paul Gerber | Obstetrics & Gynecology | 3635 Braselton Hwy, Ste B-1, Dacula, GA 30019-1068 | 2005-12-05 |
| 1588093439 | Coral Elizabeth Quinn Perniciaro | Physical Therapist | 3635 Braselton Hwy, Suite C, Dacula, GA 30019-1068 | 2013-11-01 |
| 1215279294 | Neuropathy Wellness Specialists, LLC | General Practice | 3635 Braselton Hwy, Suite C, Dacula, GA 30019-1068 | 2013-03-18 |
| 1922318625 | Christopher Brian Bennett | Chiropractor | 3635 Braselton Hwy, Suite B-2, Dacula, GA 30019-1068 | 2010-10-14 |
| 1184932857 | Nichelle Marie Young | Dental Assistant | 3635 Braselton Hwy, Suite C, Dacula, GA 30019-1068 | 2010-09-16 |
| 1578773503 | N8 Health, LLC | Chiropractor | 3635 Braselton Hwy, Suite B2, Dacula, GA 30019-5933 | 2007-05-22 |
| 1013054402 | Sam S Kwon | Dentist | 3635 Braselton Hwy, Suite C, Dacula, GA 30019-1068 | 2007-02-01 |
| 1871664730 | Nicholas Thomas Tedder | Chiropractor | 3635 Braselton Hwy, Suite B-2, Dacula, GA 30019-1068 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780228171 | Mackenson Lafortune | Physical Therapy Assistant | 1424 Filigree Pl, Dacula, GA 30019 | 2019-10-29 |
| 1780167452 | Adenike Alaga | Registered Nurse | 3196 Dolostone Way, Dacula, GA 30019 | 2018-09-10 |
| 1780160580 | Cielitha Ruffin | Nurse Practitioner | 1223 Bentley Estates Dr., Dacula, GA 30019 | 2018-07-15 |
| 1386135663 | Anke Mbapeh | Nurse Practitioner | 2100 Browning Bend Ct, Dacula, GA 30019 | 2018-05-23 |
| 1053820282 | Ethan Zachariah Merrow | Student in an Organized Health Care Education/Training Program | 1701 Mulberry Lake Drive, Dacula, GA 30019 | 2017-09-20 |
| 1043737547 | Dawn Hedley | Dietitian, Registered | 3567 Vern Way, Dacula, GA 30019 | 2017-08-25 |
| 1831545367 | Angela Owusu-edusei | Nurse Practitioner | 3226 Dolostone Way, Dacula, GA 30019 | 2016-05-13 |
| 1528458718 | Philomena Gyamfi | Registered Nurse | 1088 Milford Ln, Dacula, GA 30019 | 2015-01-27 |
| 1417375247 | Casey Goldman Sommerfeld | Pediatrics | 2240 Hamilton Creek Pkwy Ste 600, Dacula, GA 30019 | 2014-03-29 |
| 1417398215 | Samia Tahil | Home Health | 2821 Spence Ct, Dacula, GA 30019 | 2013-07-10 |
| Find all providers in zip 30019 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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| 1700445582 | American Health Imaging of Ga LLC | Clinic/Center | 4374 Atlanta Hwy Ste 125, Hiram, GA 30141-1852 | 2019-06-06 |
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| 1134645351 | M & B Imaging, PC | Clinic/Center | 2485 Jefferson Rd, Athens, GA 30607-1202 | 2017-08-18 |
| 1548785330 | American Health Imaging of Georgia LLC | Clinic/Center | 1103 Fountain Lake Dr, Brunswick, GA 31525-3039 | 2017-08-14 |
| 1164966461 | Pro Radiology, LLC | Clinic/Center | 60 Peachtree Park Dr Ne, Atlanta, GA 30309-1304 | 2016-12-06 |
| 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.