NPIMap

Organization Active NPI

Athens Neighborhood Diagnostic Center

  • Federally Qualified Health Center (FQHC)
  • Athens, GA
National Provider Identifier
1104285659
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ATHENS NEIGHBORHOOD DIAGNOSTIC CENTER
Practice address
675 College Ave
Athens, GA 30601
Phone
(706) 546-5526
Fax
(706) 546-5867
NPI assigned
Feb 12, 2016
Last updated
Jul 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Authorized official

Name
Ms. Almena Smith
Title
Billing Manager
Phone
(706) 850-9041

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X 29631 GA
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

675 College Ave
Athens, GA 30601

Mailing address

P O Box 147
Athens, GA 30603-1442
Phone (706) 850-9041

Other practice location 1

3320 Old Jefferson Rd Ste 300A
Athens, GA 30607-1442
Phone (706) 850-9041

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1104285659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 147",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306031442",
            "telephone_number": "706-850-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 COLLEGE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30601",
            "telephone_number": "706-546-5526",
            "fax_number": "706-546-5867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3320 Old Jefferson Rd Ste 300A",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306071442",
            "country_code": "US",
            "telephone_number": "706-850-9041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATHENS NEIGHBORHOOD DIAGNOSTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ALMENA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "706-850-9041",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "29631",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.