AMERICAN HEALTH IMAGING OF GA LLC (NPI# 1780937508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780937508 |
| Entity Type | Organization |
| Organization Name | AMERICAN HEALTH IMAGING OF GA LLC |
| Other Organization Name | AMERICAN HEALTH IMAGING OF CANTON LLC |
| Practice Address |
100 Liberty Blvd Ste 100 Canton GA 30114-2841 |
| Mailing Address |
Po Box 933367 Atlanta GA 31193-3367 |
| Practice Telephone | 7704791945 |
| Practice Fax Number | 7704791948 |
| Mailing Telephone | 7704791945 |
| Mailing Fax Number | 7704791948 |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2019-03-18 |
| Authorized Official Name | MELISSA CHARVAT (MANAGED CARE DIRECTOR) |
| Authorized Official Telephone | 4042975207 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
01587 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE PTAN | 202G474891 | 01 |
| Other Name | Type Code |
|---|---|
| American Health Imaging of Canton LLC | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Oakside Ln, Suite A, Canton, GA 301146416 | 7704791945 | 7704791948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1457705535 | American Health Imaging of Ga LLC | Clinic/Center | 6095 Barfield Rd, Suite 100, Atlanta, GA 30328-4408 | 2016-04-14 |
| 1790113082 | American Health Imaging of Ga LLC | Clinic/Center | 1211 W Medical Park Rd, Augusta, GA 30909-4504 | 2013-10-23 |
| 1144206764 | American Health Imaging of Ga LLC | Clinic/Center | 1565 Highway 34 East, Suite B, Newnan, GA 30265-1325 | 2005-12-15 |
| 1114902053 | American Health Imaging of Ga LLC | Clinic/Center | 2615 E West Connector, Suite 122, Austell, GA 30106-6848 | 2005-12-14 |
| 1467437327 | American Health Imaging of Ga LLC | Clinic/Center | 481 W Pike St, Lawrenceville, GA 30046-3245 | 2005-12-13 |
| 1508841511 | American Health Imaging of Ga LLC | Clinic/Center | 2774 N Decatur Rd, Decatur, GA 30033-5910 | 2005-12-13 |
| 1841625001 | American Health Imaging of Ga LLC | Clinic/Center | 4460 Austell Rd, Suite 110, Austell, GA 30106-1844 | 2013-09-06 |
| Street Address |
100 LIBERTY BLVD STE 100 |
| City | CANTON |
| State | GA |
| Zip Code | 30114-2841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609162585 | D A Imaging, Inc. | Clinic/Center | 2000 Village Professional Dr, Suite 100, Canton, GA 30114-8494 | 2011-06-20 |
| 1356520613 | Catx, Inc | Clinic/Center | 1421 E Peace St, A, Canton, MS 39046-4938 | 2007-11-02 |
| 1932155355 | Imaging Associates of Canton | Clinic/Center | 200 Oakside Ln, Suite A, Canton, GA 30114-6415 | 2006-05-26 |
| 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 | ||||
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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.