WOMEN'S IMAGING SPECIALISTS - MONROE, LLC (NPI# 1972128460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972128460 |
Entity Type | Organization |
Organization Name | WOMEN'S IMAGING SPECIALISTS - MONROE, LLC |
Practice Address |
500 Great Oaks Dr Ste 13 Monroe GA 30655-8228 |
Mailing Address |
11675 Great Oaks Way Ste 150 Alpharetta GA 30022-2497 |
Practice Telephone | 8663008512 |
Mailing Telephone | 8663008512 |
Mailing Fax Number | 8006138386 |
Enumeration Date | 2020-06-10 |
Last Update Date | 2020-06-10 |
Authorized Official Name | JENNIFER L REDDY (OWNER) |
Authorized Official Telephone | 4046923493 |
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 |
Street Address |
500 GREAT OAKS DR STE 13 |
City | MONROE |
State | GA |
Zip Code | 30655-8228 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558968149 | Coresa Hawanis Thomas | Counselor | Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 | 2020-10-06 |
1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
1144722455 | Catherine Williams | Behavioral Analyst | 109 Blaine Street, Monroe, GA 30655 | 2018-03-02 |
1588186811 | Francette Dubuche Bernard | Nurse Practitioner | 398 Highway 11, Sw, Monroe, GA 30655 | 2017-07-07 |
1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
1639528524 | Matthew Bradford Allgood | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655 | 2016-06-10 |
1477939221 | Healthy Home Transitions | Social Worker | 506 S Broad Street, Monroe, GA 30655 | 2015-08-04 |
Find all providers in zip 30655 |
Taxonomy Code | 261QR0206X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology, Mammography |
Definition to come... |
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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 |
1568651644 | Digital Mammography Specialists, Inc. | Clinic/Center | 200 Arizona Avenue Ne, Suite 200, Atlanta, GA 30307-2299 | 2007-10-15 |
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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.