Medrad, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MEDRAD, LLC

Practice address

1818 Forsyth St
Macon, GA 31201

Phone

(478) 738-0099

Fax

(478) 750-8211

NPI assigned

Nov 21, 2018

Organization subpart

No

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

Authorized official

Name

Kuo Lam Lee, MD

Title

Owner

Phone

(478) 738-0099

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Robert Anthony Nelson, MD

  • Orthopaedic Surgery Physician
  • Riverdale, GA
  • NPI 1871532937
  NPD (past)
• Juan C Lee, MD

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1205836699

  Specialist

  NPD (past)

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1073082830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 FORSYTH ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31201",
            "telephone_number": "478-738-0099",
            "fax_number": "478-750-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 FORSYTH ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31201",
            "telephone_number": "478-738-0099",
            "fax_number": "478-750-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDRAD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KUO",
        "authorized_official_middle_name": "LAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-738-0099",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medport Transportation
• Robert Adam Medrzycki, PT
• Medway Emergency Medical Services Inc.
• Glen A Megran, PA-C
• David M Melikian, PHARM.D.
• Heather Woodward Melvin, CNS

• Specialist in Macon, GA
• Providers in Macon, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.