NPIMap

Organization Active NPI

Open MRI of Decatur LLC

Doing business as Decatur Diagnostic Imaging

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Decatur, AL
National Provider Identifier
1033179809
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
OPEN MRI OF DECATUR LLC
Doing business as
Decatur Diagnostic Imaging
Practice address
1201 13TH Ave SE
Decatur, AL 35601-4301
Phone
(256) 350-7779
Fax
(256) 350-2272
NPI assigned
Mar 25, 2006
Last updated
Sep 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Dr. Peter O Holliday III
Title
Director
Phone
(478) 314-5009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X NU Primary

Addresses

Primary practice location

1201 13TH Ave SE
Decatur, AL 35601-4301

Mailing address

PO Box 4003
Macon, GA 31208-4003
Phone (478) 314-5002

Other identifiers 1

IdentifierTypeStateIssuer
529915090MedicaidAL

Other names 1

  • Decatur Diagnostic Imaging Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040824000376 AL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5294709416 Practice locations: Decatur, AL

National Provider Directory

National Provider Directory

Locations

1201 13th Ave SE
Decatur, AL 35601
Phone (256) 350-7777

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1033179809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4003",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312084003",
            "telephone_number": "478-314-5002",
            "fax_number": "478-755-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 13TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014301",
            "telephone_number": "256-350-7779",
            "fax_number": "256-350-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MRI OF DECATUR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-25",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "478-314-5009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529915090",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Decatur Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.