Susan G Osullivan (NPI# 1073593539, PAC ID# 9032304316) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1073593539 |
| PAC ID by PECOS | 9032304316 |
| Professional Enrollment ID | I20140813002651 |
| Full Name | Susan G Osullivan |
| Organization Legal Name | IMAGING ASSOCIATES OF GEORGIA LLC |
| Address |
2415 Parkwood Dr Brunswick GA 31520-4722 |
| Phone Number | 9124667000 |
| Gender | F |
| Graduation Year | 1994 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3274845185 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110025 | SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 2415 Parkwood Dr, Brunswick, GA 31520-4722 | 9124667000 | IMAGING ASSOCIATES OF GEORGIA LLC |
| 2000 Dan Proctor Dr, Saint Marys, GA 31558-3810 | 9125766200 | IMAGING ASSOCIATES OF GEORGIA LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 90% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 97% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 89% |
| Organization Legal Name | IMAGING ASSOCIATES OF GEORGIA LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Billy J Blackmon | Diagnostic Radiology | Imaging Associates of Georgia LLC | 316 N Broad St, Winder, GA 30680-2150 |
| Kathleen Byington Malone | Diagnostic Radiology | Imaging Associates of Georgia LLC | 2000 Dan Proctor Dr, Saint Marys, GA 31558-3810 |
| Joshua Marion Blackmon | Diagnostic Radiology | Imaging Associates of Georgia LLC | 2000 Dan Proctor Dr, Saint Marys, GA 31558-3810 |
| David A Causey | Diagnostic Radiology | Imaging Associates of Georgia LLC | 2000 Dan Proctor Dr, Saint Marys, GA 31558-3810 |
| Street Address |
2415 PARKWOOD DR |
| City | BRUNSWICK |
| State | GA |
| Zip | 31520-4722 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caleb Fentom Powell | Emergency Medicine | Emergency Physicians Inc | 2415 Parkwood Dr, Brunswick, GA 31520-4722 |
| John A Limburg | Family Medicine | Cooperative Healthcare Services, Inc. | 2415 Parkwood Dr, Brunswick, GA 31520-4722 |
| Freddy Guevara | Hospitalist | Cooperative Healthcare Services, Inc. | 2415 Parkwood Dr, Brunswick, GA 31520-4722 |
| John D Mohline | Emergency Medicine | Emergency Physicians Inc | 2415 Parkwood Dr, Brunswick, GA 31520-4722 |
| Erin Ferguson | Physician Assistant | Cooperative Healthcare Services, Inc. | 2415 Parkwood Dr, Brunswick, GA 31520-4722 |
| Shyamala Yennam | Pathology | Southeastern Pathology Associates PC | 2415 Parkwood Dr, Brunswick, GA 31520-4722 |
| Natalie Bennett Yonz | Physician Assistant | Cooperative Healthcare Services, Inc. | 2415 Parkwood Dr, Brunswick, GA 31520-4722 |
| Donna J Hooks | Nurse Practitioner | Cooperative Healthcare Services, Inc. | 2415 Parkwood Dr, Brunswick, GA 31520-4722 |
| Matthew W Hammond | Emergency Medicine | Emergency Physicians Inc | 2415 Parkwood Dr, Brunswick, GA 31520-4722 |
| Teresa Howard | Nurse Practitioner | Cooperative Healthcare Services, Inc. | 2415 Parkwood Dr, Brunswick, GA 31520-4722 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory D Martin | General Surgery | 650 Scranton Rd, Suite C, Brunswick, GA 31520-1927 | |
| Kerry E Moore | Nurse Practitioner | Heller Family Medicine LLC | 664 Scranton Rd, Brunswick, GA 31520-1946 |
| Richard P Mcewan | Family Medicine | 160 Juniper Court, Suite 101, Brunswick, GA 31520-1952 | |
| Sonya D Roland | Physical Therapy | 216 Harrison Ln, Brunswick, GA 31520-1959 | |
| Yoshi T Graham | Nurse Practitioner | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Dana Morgan | Nurse Practitioner | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Stephanie R Chapman | Psychiatry | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Gregory C Claxton | Nurse Practitioner | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Megan J Woolwine | Nurse Practitioner | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Peri M Kyriacos | Clinical Social Worker | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Find all physicians in zip 31520 | |||
| City | BRUNSWICK |
| Zip Code | 31520 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BRUNSWICK + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Susan G Osullivan.
| 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.