Kevin T Goelz (NPI# 1831534346, PAC ID# 4981838265) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1831534346 |
| PAC ID by PECOS | 4981838265 |
| Professional Enrollment ID | I20180816003320 |
| Full Name | Kevin T Goelz |
| Organization Legal Name | RADIOLOGY AND MEDICAL IMAGERY OF NEWNAN |
| Address |
101 Yorktown Dr Suite 105 Fayetteville GA 30214-1578 |
| Phone Number | 7707161111 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 5395738348 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110215 | PIEDMONT FAYETTE HOSPITAL |
| 110229 | PIEDMONT NEWNAN HOSPITAL, INC |
| 110083 | PIEDMONT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 101 Yorktown Dr, Suite 105, Fayetteville, GA 30214-1578 | 7707161111 | RADIOLOGY AND MEDICAL IMAGERY OF NEWNAN |
| 745 Poplar Rd, Newnan, GA 30265-1618 | 7704001000 | RADIOLOGY AND MEDICAL IMAGERY OF NEWNAN |
| Organization Legal Name | RADIOLOGY AND MEDICAL IMAGERY OF NEWNAN |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Swanagan | Nurse Practitioner | Radiology and Medical Imagery of Newnan | 745 Poplar Rd, Newnan, GA 30265-1618 |
| Daniel S Faith | Diagnostic Radiology | Radiology and Medical Imagery of Newnan | 745 Poplar Rd, Newnan, GA 30265-1618 |
| Richard J Woodcock Jr. | Diagnostic Radiology | Radiology and Medical Imagery of Newnan | 745 Poplar Rd, Newnan, GA 30265-1618 |
| Steven V Manzi | Diagnostic Radiology | Radiology and Medical Imagery of Newnan | 1255 Hwy 54 W, Fayetteville, GA 30214-4526 |
| Amy Herrick | Nurse Practitioner | Radiology and Medical Imagery of Newnan | 1255 Hwy 54 W, Fayetteville, GA 30214-4526 |
| Darren D Kies | Diagnostic Radiology | Radiology and Medical Imagery of Newnan | 1255 Hwy 54 W, Fayetteville, GA 30214-4526 |
| John R Mcnair | Diagnostic Radiology | Radiology and Medical Imagery of Newnan | 1255 Hwy 54 W, Fayetteville, GA 30214-4526 |
| George William C Stone | Diagnostic Radiology | Radiology and Medical Imagery of Newnan | 1255 Hwy 54 W, Fayetteville, GA 30214-4526 |
| David J Bodne | Diagnostic Radiology | Radiology and Medical Imagery of Newnan | 745 Poplar Rd, Newnan, GA 30265-1618 |
| Brannan H Hatfield | Diagnostic Radiology | Radiology and Medical Imagery of Newnan | 745 Poplar Rd, Newnan, GA 30265-1618 |
| Street Address |
101 YORKTOWN DR SUITE 105 |
| City | FAYETTEVILLE |
| State | GA |
| Zip | 30214-1578 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marie Easterlin | Obstetrics/gynecology | Privia Medical Group of Georgia LLC | 101 Yorktown Dr, Suite 100, Fayetteville, GA 30214-7663 |
| Christine A Swords | Nurse Practitioner | Privia Medical Group of Georgia LLC | 101 Yorktown Dr, Suite 100, Fayetteville, GA 30214-7663 |
| Kacie Charlene Johnson | Nurse Practitioner | Privia Medical Group of Georgia LLC | 101 Yorktown Dr, Suite 100, Fayetteville, GA 30214-7663 |
| Patrice Janice Wilson | Nurse Practitioner | Privia Medical Group of Georgia LLC | 101 Yorktown Dr, Suite 100, Fayetteville, GA 30214-7663 |
| Gerald A Slagel | Dermatology | Privia Medical Group of Georgia LLC | 101 Yorktown Dr, Suite 100, Fayetteville, GA 30214-7663 |
| Adrienne M Lynch | Physician Assistant | Privia Medical Group of Georgia LLC | 101 Yorktown Dr, Suite 100, Fayetteville, GA 30214-7663 |
| Carl Johnson Iii | Family Medicine | Privia Medical Group of Georgia LLC | 101 Yorktown Dr, Suite 100, Fayetteville, GA 30214-7663 |
| Sandra Wordlaw-watkins | Family Medicine | Privia Medical Group of Georgia LLC | 101 Yorktown Dr, Suite 100, Fayetteville, GA 30214-7663 |
| Randy B Cronic | Family Medicine | Privia Medical Group of Georgia LLC | 101 Yorktown Dr, Suite 100, Fayetteville, GA 30214-7663 |
| Theodore Geffen | Family Medicine | Privia Medical Group of Georgia LLC | 101 Yorktown Dr, Suite 100, Fayetteville, GA 30214-7663 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Massey | Nurse Practitioner | Piedmont Providers LLC | 1279 Hwy 54 W, Suite 100, Fayetteville, GA 30214 |
| Connie T Dupre | Internal Medicine | Piedmont Medical Care Corporation | 1267 W Hwy 54, Suite 5200, Fayetteville, GA 30214 |
| Gregory Valentine | Family Medicine | 874 Lanier W Ave, Suite 210, Fayetteville, GA 30214 | |
| Byron F Harper | Internal Medicine | 106 Governors Square Prkwy, Fayetteville, GA 30214 | |
| Kayona Jones Moreland | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2100, Fayetteville, GA 30214 |
| Paul Constantine Karagiannis | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Kevin Yang | Urology | Georgia Urology, Pa | 1336 Hwy 54 W, Fayetteville, GA 30214 |
| Angela R Parker | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2100, Fayetteville, GA 30214 |
| Kavita Perumal Krishnasamy | Cardiac Electrophysiology | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Rani Shah | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Find all physicians in zip 30214 | |||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | FAYETTEVILLE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Kevin T Goelz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.