Medica Imaging, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

2100666 Issued in GA

Legal business name

MEDICA IMAGING, LLC

Doing business as

Medica Forsyth Open MRI & CT

Practice address

925 Sanders Rd
Suite B
Cumming, GA 30041-7945

Phone

(678) 845-2150

Fax

(678) 845-2148

NPI assigned

Jun 5, 2006

Organization subpart

No

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

Authorized official

Name

Mary Kay Baker

Title

VP of Operations

Phone

(678) 354-6766

Specialties & licenses 1

Addresses

Other names 1

• Medica Forsyth Open MRI & CT Doing business as

Locations

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013956416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 SANDERS RD",
            "address_2": "SUITE B",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417945",
            "telephone_number": "678-845-2150",
            "fax_number": "678-845-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 SANDERS RD",
            "address_2": "SUITE B",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417945",
            "telephone_number": "678-845-2150",
            "fax_number": "678-845-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICA IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "678-354-6766"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "GA",
            "license": "2100666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medica Forsyth Open MRI & CT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MD Prime Inc
• Me Pivot Holdings LLC
• Michele D. Meadows, RPH
• Andrea Measor, PT
• Deborah Ann Medearis, M.DIV., M.A.
• Medical Equipment Specialists
• Vanessa Medina
• Brittany Morgan Medlin
• Naga Bhavani Meduri, MD
• Bailey Lester Meeks

• Radiology Clinic/Center in Cumming, GA
• Providers in Cumming, GA by specialty
• Radiology Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.