OPEN MRI OF GEORGIA, INC (NPI# 1811120942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811120942 |
| Entity Type | Organization |
| Organization Name | OPEN MRI OF GEORGIA, INC |
| Other Organization Name | OPEN MRI & IMAGING OF NE GEORGIA |
| Practice Address |
425 Broad St Se Suite 102 Gainesville GA 30501-3751 |
| Mailing Address |
Po Box 932391 Atlanta GA 31193-2391 |
| Practice Telephone | 7707189776 |
| Practice Fax Number | 7707181910 |
| Mailing Telephone | 3783935600 |
| Mailing Fax Number | 7703009018 |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2013-09-23 |
| Authorized Official Name | MR. DANIEL J SCHAEFER (C.O.O.) |
| Authorized Official Telephone | 7703000101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Open MRI & Imaging of NE Georgia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972735009 | Open Mri of Georgia, Inc | Radiology | 2859 N Decatur Rd, Decatur, GA 30033-5911 | 2009-08-24 |
| 1568695690 | Open Mri of Georgia, Inc | Radiology | 10670 Medlock Bridge Rd Ste A, Duluth, GA 30097-8441 | 2009-08-24 |
| 1497081202 | Open Mri of Georgia, Inc | Radiology | 1035 Southcrest Dr, Suite 120, Stockbridge, GA 30281-6118 | 2009-10-29 |
| 1104059138 | Open Mri of Georgia, Inc | Radiology | 300 Parkbrooke Pl, Suite 170, Woodstock, GA 30189-7209 | 2009-08-25 |
| 1588897508 | Open Mri of Georgia, Inc | Radiology | 600 Professional Dr, Suite 100, Lawrenceville, GA 30045-7651 | 2009-08-25 |
| 1154554145 | Open Mri of Georgia, Inc | Radiology | 6630 Mcginnis Ferry Rd, Duluth, GA 30097-1542 | 2009-08-25 |
| 1871726950 | Open Mri of Georgia, Inc | Radiology | 1608 Tree Ln, Suite 400, Snellville, GA 30078-2399 | 2009-08-24 |
| 1376775403 | Open Mri of Georgia, Inc | Radiology | 2287 Salem Rd Se, Conyers, GA 30013-2025 | 2009-08-24 |
| 1255564324 | Open Mri of Georgia, Inc | Radiology | 1400 Hembree Rd, Suite 150, Roswell, GA 30076-5719 | 2009-08-24 |
| 1295967321 | Open Mri of Georgia, Inc | Radiology | 3200 Cobb Galleria Pkwy, Suite 120, Atlanta, GA 30339-5927 | 2009-08-24 |
| Street Address |
425 BROAD ST SE SUITE 102 |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760463509 | Northwest Diagnostic Imaging, Inc | Radiology | 425 Broad St Se, Gainesville, GA 30501-3712 | 2005-11-09 |
| 1790760890 | James Michael Luckett | Radiology | 425 Broad St Se, Suite 102, Gainesville, GA 30501-3725 | 2005-12-12 |
| 1801871199 | Craig R. Lyles | Radiology | 425 Broad St Se, Gainesville, GA 30501-3751 | 2005-12-09 |
| 1093790669 | Brian P Gay | Radiology | 425 Broad St Se, Suite 102, Gainesville, GA 30501-3725 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124654405 | Summerlin Imaging Center LLC | Radiology | 7520 W University Ave Ste D, Gainesville, FL 32607-7612 | 2020-03-18 |
| 1801382023 | Urgent Radiology Pllc | Radiology | 3502 Nw 18th Ave, Gainesville, FL 32605-3670 | 2018-07-11 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| 1326496571 | Charles Walter Snyder | Radiology | 2568 Sw 50th Blvd, Gainesville, FL 32608-3977 | 2016-05-27 |
| 1770953572 | Jose Manuel Quintero | Radiology | 1371 Se 23rd Ave, Gainesville, FL 32641-8798 | 2015-10-06 |
| 1891180634 | Eric William Pepin | Radiology | University of Florida Com, Gainesville, FL 32610-1004 | 2015-03-30 |
| 1841525045 | Naeima Beseikri | Radiology | 5175 Glenstone Ct, Gainesville, GA 30504-9043 | 2009-10-06 |
| 1992965701 | Heather L Carpenter | Radiology | 4343 W Newberry Rd Ste 5, Gainesville, FL 32607-2824 | 2008-06-16 |
| 1417046863 | Timothy P. Boyett | Radiology | 3330 Sw 81st St, Gainesville, FL 32608-9502 | 2006-10-12 |
| 1356439541 | Jeffrey N Mcintire | Radiology | 1250 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501-3865 | 2006-10-11 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on OPEN MRI OF GEORGIA, INC.
| 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.