Radiology Associates of Moultrie

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

RADIOLOGY ASSOCIATES OF MOULTRIE

Practice address

3131 S Main St
Moultrie, GA 31768-6925

Phone

(229) 985-8802

Fax

(229) 891-2016

NPI assigned

Nov 14, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James W Keith, MDNPI 1831171172

Title

Director

Phone

(229) 985-8802

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• James W Keith, MD

  • Diagnostic Radiology Physician
  • Moultrie, GA
  • NPI 1831171172
  Authorized official Same address or phone
• Mark H Blanchard, MD

  • Diagnostic Radiology Physician
  • Moultrie, GA
  • NPI 1225010382
  NPD (past)
• Leonard Perry Laconte, M.D.

  • Diagnostic Radiology Physician
  • Norcross, GA
  • NPI 1699792572
  NPD (past)

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1053393397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2977",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317762977",
            "telephone_number": "229-985-8802",
            "fax_number": "229-891-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 S MAIN ST",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686925",
            "telephone_number": "229-985-8802",
            "fax_number": "229-891-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY ASSOCIATES OF MOULTRIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "229-985-8802",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pruitthealth - Moultrie, LLC (PruittHealth - Moultrie)
• Pruitthealth - Sunrise, LLC (PruittHealth - Sunrise)
• Publix Super Markets Inc (Publix Pharmacy #1540)
• Fred Eugene Purvis, GA RPH 10245
• Jessica Kayla Purvis, LCSW
• Radiology Associates of Moultrie LLC
• Derrick William Railey, FNP, AGACNP
• Rainbow Pediatrics Associates PC
• Susana Ramirez Luna, CCC/SLP
• Morgan Ellison Ramsey, PA

• Diagnostic Radiology Physician in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.