WOMEN'S IMAGING SPECIALISTS - ATHENS, LLC (NPI# 1518354018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518354018 |
| Entity Type | Organization |
| Organization Name | WOMEN'S IMAGING SPECIALISTS - ATHENS, LLC |
| Other Organization Name | DIGITAL MAMMOGRAPHY SPECIALISTS - ATHENS, LLC |
| Practice Address |
1360 Caduceus Way Building 400: Suite 101 Watkinsville GA 30677-7300 |
| Mailing Address |
11675 Great Oaks Way Ste 150 Alpharetta GA 30022-2497 |
| Practice Telephone | 6788019862 |
| Practice Fax Number | 7066086875 |
| Mailing Telephone | 8663008512 |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2020-06-12 |
| Authorized Official Name | MS. JENNIFER L REDDY (MANAGER) |
| Authorized Official Telephone | 4044286107 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Digital Mammography Specialists - Athens, LLC | Former Legal Business Name - Organization |
| Street Address |
1360 CADUCEUS WAY BUILDING 400: SUITE 101 |
| City | WATKINSVILLE |
| State | GA |
| Zip Code | 30677-7300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053358366 | Kenneth Bradley Hall | Dentist | 1360 Caduceus Way, Bldg 900 Ste 101, Watkinsville, GA 30677-7300 | 2006-06-02 |
| 1275134785 | Ivey Reeves Tenny | Behavioral Analyst | 1360 Caduceus Way, Watkinsville, GA 30677-7300 | 2020-11-03 |
| 1649887639 | Danymarie Baldon Consolacion | Behavior Technician | 1360 Caduceus Way, Watkinsville, GA 30677-7300 | 2020-09-24 |
| 1750906822 | Marissa Evans | Behavior Technician | 1360 Caduceus Way, Building 600-suite 101, Watkinsville, GA 30677 | 2020-06-14 |
| 1962033100 | Savannah Baine | Behavior Technician | 1360 Caduceus Way, Watkinsville, GA 30677-7300 | 2020-01-27 |
| 1679945596 | Athens Cardiac Clinic PC | Internal Medicine | 1360 Caduceus Way, Building 600 Suite 105, Watkinsville, GA 30677-7300 | 2015-10-30 |
| 1013384031 | Aoa Hearing Aids | Audiologist | 1360 Caduceus Way, Building 200, Suite 101, Watkinsville, GA 30677-7300 | 2015-08-25 |
| 1356732804 | Athens Digestive Endoscopy Center | Clinic/Center | 1360 Caduceus Way, Building 300, Watkinsville, GA 30677-7300 | 2015-02-05 |
| 1538586516 | Yuca, LLC | Pharmacy | 1360 Caduceus Way, Bldg 400 Suite 105, Watkinsville, GA 30677 | 2014-03-27 |
| 1073891198 | Julio Ernesto Pena | Internal Medicine | 1360 Caduceus Way, Bldg 400, Suite 104, Watkinsville, GA 30677-7300 | 2011-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071478 | Brenda Gerai James | Behavior Technician | 1272 Virgil Langford Rd, Ste 101, Watkinsville, GA 30677 | 2020-10-22 |
| 1881292597 | Chloe Wise | Specialist/Technologist | 360 Caduceus Way Building 600 - Suite 101., Watkinsville, GA 30677 | 2020-10-14 |
| 1912518531 | Samuel S Kwon - Athens Dmd PC | Dentist | 1795 Resurgence Drive, Suite 101, Watkinsville, GA 30677 | 2020-08-17 |
| 1972131977 | Hopebridge LLC | Behavioral Analyst | 1272 Virgil Langford Road, Suite 101, Watkinsville, GA 30677 | 2020-03-27 |
| 1306479068 | Meggan Brittany Reed | Counselor | 1550 Jennings Mill Rd, Suite 1700b, Watkinsville, GA 30677 | 2020-02-20 |
| 1699322040 | Christopher's Bridge, LLC | In Home Supportive Care | 3651 Mars Hill Rd, Suite 1600, Watkinsville, GA 30677 | 2019-08-21 |
| 1093209538 | Haley Bauguss | Physician Assistant | 1624 Mars Hill Road, Suite B, Watkinsville, GA 30677 | 2018-06-19 |
| 1134618317 | Amanda Burns Denson | Nurse Practitioner | 1181 Langford Drive, Building 300, Suite 104, Watkinsville, GA 30677 | 2018-05-03 |
| 1780105528 | Inspiring Hospice Partners of Georgia LLC | Hospice Care, Community Based | 1252 Virgil Langford Rd, Watkinsville, GA 30677 | 2017-07-01 |
| 1750753182 | Zachary Russell | Orthopaedic Surgery | 1305 Jennings Mill Road, Building 300, Suite 110, Watkinsville, GA 30677 | 2015-10-26 |
| Find all providers in zip 30677 | ||||
| Taxonomy Code | 261QR0206X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mammography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128460 | Women's Imaging Specialists - Monroe, LLC | Clinic/Center | 500 Great Oaks Dr Ste 13, Monroe, GA 30655-8228 | 2020-06-10 |
| 1134753130 | Women's Imaging Specialists - Dublin LLC | Clinic/Center | 1000 Hillcrest Pkwy, Dublin, GA 31021-4208 | 2020-02-27 |
| 1306470307 | Women's Imaging Specialists - Warner Robins LLC | Clinic/Center | 101 Willie Lee Pkwy Ste 400, Warner Robins, GA 31088-9245 | 2020-02-27 |
| 1104466036 | Women's Imaging Specialists - Lithonia, LLC | Clinic/Center | 2505 Panola Rd Ste B, Lithonia, GA 30058-4831 | 2020-01-08 |
| 1467091389 | Meadows Regional Medical Center, Inc. | Clinic/Center | 1707 Meadows Ln Ste B, Vidalia, GA 30474-7201 | 2019-12-23 |
| 1518428887 | Women's Imaging Specialists - Canton, LLC | Clinic/Center | 203 Oakside Ln Ste C, Canton, GA 30114-6407 | 2019-03-28 |
| 1588133813 | Women's Imaging Specialists - Lawrenceville, LLC | Clinic/Center | 1730 Lawrenceville Suwanee Rd Ste B, Lawrenceville, GA 30043-3507 | 2018-11-15 |
| 1437594686 | Affordable Breast Imaging | Clinic/Center | 864 Kendall Park Dr, Winder, GA 30680-7868 | 2013-05-01 |
| 1255619441 | Digital Mammography Specialists - Conyers, LLC | Clinic/Center | 3242 Avalon Blvd., Conyers, GA 30013 | 2011-07-22 |
| 1144407750 | Evans Imaging, LLC | Clinic/Center | 4350 Towne Center Drive, Suite 1000, Evans, GA 30809 | 2008-01-25 |
| Find all providers with the same taxonomy | ||||
| City | WATKINSVILLE |
| Zip Code | 30677 |
Please comment or provide details below to improve the information on WOMEN'S IMAGING SPECIALISTS - ATHENS, LLC.
| 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.