Riverstone Imaging Center

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

NOT REQUIRED Issued in GA

Legal business name

RIVERSTONE IMAGING CENTER

Doing business as

RiverStoneMD, PC

Practice address

101 Riverstone Vis
Blue Ridge, GA 30513-6648

Phone

(706) 258-4120

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Jody Davis, CFO

Title

Chief Financial Officer

Phone

(706) 258-4133

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RiverStoneMD, PC Doing business as

Tax ID family

Riverstone Imaging Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Riverstone Urgent Care Center

  dba RiverStoneMD, PC

  • Urgent Care Clinic/Center
  • Blue Ridge, GA
  • NPI 1023185832
  NPD tax ID

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1093882805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERSTONE VIS",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136648",
            "telephone_number": "706-258-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIVERSTONE VIS",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136648",
            "telephone_number": "706-258-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSTONE IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "706-258-4133",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "GA",
            "license": "NOT REQUIRED",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085001714G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RiverStoneMD, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Rhodes
• Sue Ann Richardson, NEUROMUSCULAR THERAP
• Ridge Chiropractic
• Olivia Ann Riemer
• Renee S Rimmer, O.D.
• Riverstone Pharmacy
• Riverstone Urgent Care Center (RiverStoneMD, PC)
• Riverstonemd PC (Riverstonemd Rural Health Clinic)
• Riverstonemd PC
• Carla Roberts, PT

• Radiology Clinic/Center in Blue Ridge, GA
• Providers in Blue Ridge, GA by specialty
• Radiology Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.