Individual provider Active NPI

Alexandre Morin, MD

  • Diagnostic Radiology Physician
  • Carrollton, GA
National Provider Identifier
1093742694
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
59474 Issued in GA
Practice address
119 Maple St
Suite 205
Carrollton, GA 30117-3230
Phone
(770) 834-0751
Fax
(770) 834-0753
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 59474 GA Primary

Addresses

Primary practice location

119 Maple St
Suite 205
Carrollton, GA 30117-3230

Mailing address

119 Maple St
Suite 205
Carrollton, GA 30117-3230
Phone (770) 834-0751

Other identifiers 1

IdentifierTypeStateIssuer
635952427AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070724000304 GA Practitioner - Diagnostic Radiology 4688687965 Reassigns benefits to 3 organizations
I20190307001482 AL Practitioner - Diagnostic Radiology 4688687965

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Carrollton, GA 30117
Phone (216) 299-2013

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
59474GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Griffin Imaging, LLC Diagnostic Radiology CurrentSince Jun 1, 2016 Accepting new patients
Griffin Imaging, LLC Diagnostic Radiology CurrentSince Jun 1, 2016 Accepting new patients
Outpatient Imaging, LLC Diagnostic Radiology CurrentSince Jul 9, 2007 Accepting new patients
Cleveland Clinic Health Services Professional Association, Inc CurrentSince Jan 10, 2022 Accepting new patients
Georgia West Imaging, PC Diagnostic Radiology CurrentSince Jul 9, 2007 Accepting new patients

Locations (25 of 71)

605 Dixie St
Carrollton, GA 30117
Phone (770) 832-9873

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

655 Will St
Griffin, GA 30224
Phone (770) 229-4660

220 Rock St
Griffin, GA 30224
Phone (770) 229-4660

10 Eastbrook Bnd
Peachtree Cty, GA 30269
Phone (770) 305-4674

5995 Spring St
Warm Springs, GA 31830
Phone (706) 632-4374

4241 Vets Blvd
Ste 200
Metairie, LA 70006

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

4125 Medina Rd
Akron, OH 44333
Phone (330) 375-8104

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

33355 Health Campus Blvd
Avon, OH 44011
Phone (330) 670-0460

33300 Cleveland Clinic Blvd
Avon, OH 44011
Phone (440) 686-0105

33100 Cleveland Clinic Blvd
Avon, OH 44011
Phone (440) 695-4000

450 Avon Belden Rd
Avon Lake, OH 44012
Phone (440) 930-6800

3025 Science Park Dr
Beachwood, OH 44122
Phone (216) 445-6400

1449 Boardman Canfield Rd
Ste 140
Boardman, OH 44512
Phone (330) 965-7370

2001 E Royalton Rd
Broadview Hts, OH 44147
Phone (440) 717-5800

3574 Center Rd
Brunswick, OH 44212
Phone (330) 225-8886

551 Washington St
Chagrin Falls, OH 44022
Phone (440) 893-9393

17747 Chillicothe Rd
Ste 100
Chagrin Falls, OH 44023
Phone (440) 543-8855

18200 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7088

18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

26900 Cedar Rd
Cleveland, OH 44122
Phone (216) 839-3000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1093742694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 MAPLE ST",
            "address_2": "SUITE 205",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173230",
            "telephone_number": "770-834-0751",
            "fax_number": "770-834-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MAPLE ST",
            "address_2": "SUITE 205",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173230",
            "telephone_number": "770-834-0751",
            "fax_number": "770-834-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIN",
        "first_name": "ALEXANDRE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "59474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "635952427A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.