ATHENS IMAGING CENTER (NPI# 1770857096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770857096 |
| Entity Type | Organization |
| Organization Name | ATHENS IMAGING CENTER |
| Practice Address |
195 King Ave Athens GA 30606-6736 |
| Practice Telephone | 7065498306 |
| Practice Fax Number | 7065494099 |
| Mailing Telephone | 7065498306 |
| Mailing Fax Number | 7065494099 |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |
| Authorized Official Name | TOM MCLENDON (CEO) |
| Authorized Official Telephone | 7065498306 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
195 KING AVE |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-6736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114914207 | Erin Boyer Kilzi | Physician Assistant | 195 King Ave, Athens, GA 30606-2963 | 2005-10-04 |
| 1942772777 | James Beauliere Fercilien | Physician Assistant | 195 King Ave, Athens, GA 30606-6736 | 2018-12-18 |
| 1053776732 | Lisa Bartlow | Physician Assistant | 195 King Ave, Athens, GA 30606-6736 | 2015-12-22 |
| 1659616316 | Carlton M Guthrie PC | Nurse Anesthetist, Certified Registered | 195 King Ave, Athens, GA 30606-6736 | 2012-12-06 |
| 1942564034 | Megan Marett Lovett | Nurse Practitioner | 195 King Ave, Athens, GA 30606-6736 | 2012-07-03 |
| 1649552878 | Sabra Brooker | Physician Assistant | 195 King Ave, Athens, GA 30606-6736 | 2011-09-14 |
| 1205124492 | Thompson Gynecology PC | Obstetrics & Gynecology | 195 King Ave, Athens, GA 30606-6736 | 2011-07-21 |
| 1477718500 | Athens Vein Clinic, PC | Specialist | 195 King Ave, Athens, GA 30606-2963 | 2008-07-29 |
| 1740447986 | Amanda Stephanie Martin | Physician Assistant | 195 King Ave, Athens, GA 30606-0000 | 2008-05-16 |
| 1740471630 | Urology of Athens, P.a. | Urology | 195 King Ave, Athens, GA 30606-2963 | 2007-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225675812 | Kare Asc, LLC | Radiology | 4165 Old Milton Pkwy Ste 150b, Alpharetta, GA 30005-4477 | 2019-12-03 |
| 1710541990 | Vascular Atlanta Inc | Radiology | 3840 Peachtree Industrial Blvd Ste 275b, Duluth, GA 30096-5031 | 2019-04-23 |
| 1063903078 | South Atlanta Vascular Institute, LLC | Radiology | 4714 Oakleigh Manor Dr, Powder Springs, GA 30127-4923 | 2018-05-24 |
| 1780184218 | Preferred Vascular Services Northeast | Radiology | 1 Dunwoody Park Ste 140, Atlanta, GA 30338-6708 | 2018-02-21 |
| 1417229741 | Northeast Atlanta Vascular Care, LLC | Radiology | 1 Dunwoody Park Ste 130, Atlanta, GA 30338-6714 | 2012-02-01 |
| 1932479813 | Peter Sones | Radiology | 1026 Clifton Rd Ne, Atlanta, GA 30307-1228 | 2012-01-09 |
| 1134407158 | Columbus Vascular Center, LLC | Radiology | 4519 Woodruff Rd. Unit 17, Columbus, GA 31904 | 2011-07-25 |
| 1114242930 | Alkesh Ashwinkumar Amin | Radiology | Gainesville Radiology Group PC, 200 W Academy Street, Gainesville, GA 30501 | 2010-04-05 |
| 1144543877 | Kuraoka Clinic | Radiology | 100 Galleria Pkwy Se, Suite 660, Atlanta, GA 30339-3179 | 2010-03-09 |
| 1447415393 | Vascular Access Center of Warner Robins LLC | Radiology | 516 S Houston Lake Rd, Suite 100, Warner Robins, GA 31088-6308 | 2008-07-21 |
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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.