Individual provider Active NPI

Patti Catlett

  • Radiology Practitioner Assistant
  • Ball Ground, GA
National Provider Identifier
1013318948
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Practitioner AssistantTaxonomy code 243U00000X
License
05GA1152 Issued in GA
Practice address
3060 Cypress CV
Ball Ground, GA 30107-2675
Phone
(770) 735-1130
NPI assigned
Sep 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Practitioner Assistant 243U00000X 05GA1152 GA Primary
Radiologic Technologist 247100000X 154792 GA
Mammography Radiologic Technologist 2471M2300X 154792 GA

Addresses

Primary practice location

3060 Cypress CV
Ball Ground, GA 30107-2675

Mailing address

3060 Cypress CV
Ball Ground, GA 30107-2675
Phone (770) 735-1130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05GA1152GAMDRadiology Practitioner Assistant
154792GAMDMammography Radiologic Technologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1013318948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 CYPRESS CV",
            "city": "BALL GROUND",
            "state": "GA",
            "postal_code": "301072675",
            "telephone_number": "770-735-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 CYPRESS CV",
            "city": "BALL GROUND",
            "state": "GA",
            "postal_code": "301072675",
            "telephone_number": "770-735-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATLETT",
        "first_name": "PATTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "GA",
            "license": "05GA1152",
            "primary": true
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "GA",
            "license": "154792",
            "primary": false
        },
        {
            "code": "2471M2300X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Mammography",
            "state": "GA",
            "license": "154792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ball Ground, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.