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

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, MD

Title

Director

Phone

(229) 985-8802

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark H Blanchard, MD

  • Diagnostic Radiology Physician
  • Moultrie, GA
  • NPI 1225010382

  Diagnostic Radiology

  NPD (past)
• Leonard Perry Laconte, M.D.

  • Diagnostic Radiology Physician
  • Norcross, GA
  • NPI 1699792572

  Diagnostic Radiology

  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 - Sunrise, LLC
• Publix Super Markets Inc
• 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

• All providers in Moultrie, GA
• 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.