Women'S Imaging Specialists - Lithonia, LLC

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

Legal business name

WOMEN'S IMAGING SPECIALISTS - LITHONIA, LLC

Practice address

2505 Panola Rd Ste B
Lithonia, GA 30058-4831

Phone

(706) 450-9099

Fax

(470) 299-2107

NPI assigned

Jan 8, 2020

Organization subpart

No

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

Authorized official

Name

Jennifer L Reddy

Title

Owner

Phone

(404) 692-3493

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1104466036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 N POINT PKWY STE 106",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 PANOLA RD STE B",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584831",
            "telephone_number": "706-450-9099",
            "fax_number": "470-299-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S IMAGING SPECIALISTS - LITHONIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-692-3493"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyquine Wilson
• Tasia Winans, MT
• Sonya Lynnette Windham, DMD
• Wisteria D Hendricks Dba S&S
• Lisa J Wolfgang, RN
• Womens Healthcare and Aesthetics
• Beverly A Woods, ARNP
• World of Love L.L.C.
• Wound Care & Hyperbaric Center
• Wound Care & Hyperbaric Center

• Mammography Clinic/Center in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Mammography Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.