Active NPI
Alpha Imaging, Inc.
- Diagnostic Radiology Physician
- Statesboro, GA
National Provider Identifier
1033110358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- ALPHA IMAGING, INC.
- Practice address
- 1499 Fair Rd
Statesboro, GA 30458-1683 - Phone
- (912) 486-1000
- NPI assigned
- Aug 9, 2005
- Last updated
- Jun 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thad D Long, MD
- Title
- President
- Phone
- (912) 486-1620
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
1499 Fair Rd
Statesboro, GA 30458-1683
Mailing address
PO Box 348
Columbus, GA 31902-0348
Phone (864) 850-1441
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Hilton Head, SC
- NPI 1083616932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213056000000",
"number": "1033110358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 348",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319020348",
"telephone_number": "864-850-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1499 FAIR RD",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304581683",
"telephone_number": "912-486-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALPHA IMAGING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-09",
"last_updated": "2008-06-10",
"status": "A",
"authorized_official_last_name": "LONG",
"authorized_official_first_name": "THAD",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "912-486-1620",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.