AMERICAN HEALTH IMAGING OF GEORGIA LLC (NPI# 1659304772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659304772 |
Entity Type | Organization |
Organization Name | AMERICAN HEALTH IMAGING OF GEORGIA LLC |
Other Organization Name | AMERICAN HEALTH IMAGING OF FAYETTEVILLE LLC |
Practice Address |
1275 Highway 54 W Suite 100 Fayetteville GA 30214-4549 |
Mailing Address |
Po Box 933367 Atlanta GA 31193-3367 |
Practice Telephone | 7707169300 |
Mailing Telephone | 4042965887 |
Enumeration Date | 2006-07-09 |
Last Update Date | 2016-08-22 |
Authorized Official Name | SCOTT WARREN ARANT (PRESIDENT) |
Authorized Official Telephone | 4042965887 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
American Health Imaging of Fayetteville LLC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053922567 | American Health Imaging of Georgia LLC | Clinic/Center | 30 Janet Dr # 101, Savannah, GA 31405-5518 | 2020-08-10 |
1881218964 | American Health Imaging of Georgia LLC | Clinic/Center | 30 Janet Dr, Savannah, GA 31405-5518 | 2020-06-03 |
1548785330 | American Health Imaging of Georgia LLC | Clinic/Center | 1103 Fountain Lake Dr, Brunswick, GA 31525-3039 | 2017-08-14 |
Street Address |
1275 HIGHWAY 54 W SUITE 100 |
City | FAYETTEVILLE |
State | GA |
Zip Code | 30214-4549 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619962503 | P E T Imaging of Fayette LLC | Radiology | 1275 Highway 54 W, Ste 102, Fayetteville, GA 30214-4549 | 2005-09-16 |
1952843013 | William Matthew Mowery | Physical Therapy Assistant | 1275 Highway 54 W, Ste 200, Fayetteville, GA 30214-4549 | 2016-11-07 |
1013311224 | Drayton Thomas Perkins | Physical Therapist | 1275 Highway 54 W, Ste 200, Fayetteville, GA 30214-4549 | 2014-10-17 |
1609283225 | Matthew Watson | Physical Therapist | 1275 Highway 54 W, Ste 200, Fayetteville, GA 30214-4549 | 2014-07-15 |
1467888560 | Daniel John Voight | Physical Therapist | 1275 Highway 54 W, Ste 200, Fayetteville, GA 30214-4549 | 2013-09-20 |
1881932010 | Georgia Urology Pa | Urology | 1275 Highway 54 W, Suite 205, Fayetteville, GA 30214-4549 | 2013-01-23 |
1457686917 | Aaron H Honeycutt | Physical Therapist | 1275 Highway 54 W, Suite 200, Fayetteville, GA 30214-4549 | 2009-10-16 |
1982838561 | Anthony Joseph Braim | Physical Therapist | 1275 Highway 54 W, Ste 200, Fayetteville, GA 30214-4549 | 2009-05-11 |
1447402086 | John W Sims | Nurse Practitioner | 1275 Highway 54 W, Suite 200, Fayetteville, GA 30214-4549 | 2008-10-15 |
1982877197 | Sleep Services of America | Clinical Medical Laboratory | 1275 Highway 54 W, Suite 203, Fayetteville, GA 30214-4549 | 2008-04-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
Find all providers in zip 30214 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851701783 | Arkansas Medical Imaging Jv LLC | Clinic/Center | 361 E Millsap Rd, Fayetteville, AR 72703-6289 | 2014-04-30 |
1710939269 | Arkansas Mri Services, LLC | Clinic/Center | 361 E Millsap Rd, Fayetteville, AR 72703-6289 | 2006-05-16 |
1710972419 | Fayetteville Mri, LLC | Clinic/Center | 106 Medical Center Blvd, Fayetteville, TN 37334-2684 | 2005-09-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770101701 | Clear Imaging LLC | Clinic/Center | 5730 Glenridge Dr Ste T300, Sandy Springs, GA 30328-5871 | 2020-07-07 |
1881218964 | American Health Imaging of Georgia LLC | Clinic/Center | 30 Janet Dr, Savannah, GA 31405-5518 | 2020-06-03 |
1952948291 | Catching Point Physician Centers, LLC | Clinic/Center | 3333 Old Milton Pkwy Ste G100, Alpharetta, GA 30005-0008 | 2019-12-05 |
1447802780 | American Health Imaging of Ga LLC | Clinic/Center | 2851 Washington Rd, Augusta, GA 30909-2131 | 2019-07-16 |
1700445582 | American Health Imaging of Ga LLC | Clinic/Center | 4374 Atlanta Hwy Ste 125, Hiram, GA 30141-1852 | 2019-06-06 |
1508425380 | American Health Imaging of Ga LLC | Clinic/Center | 796 Church St Ne Ste 100, Marietta, GA 30060-7228 | 2019-06-06 |
1588229918 | Synergy Radiology, LLC | Clinic/Center | 6025 Professional Pkwy Ste 104, Douglasville, GA 30134-5610 | 2019-05-01 |
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 |
City | FAYETTEVILLE |
Zip Code | 30214 |
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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.