Active NPI
Interventional Radiology Assoc of Atlanta PC
- Radiology Clinic/Center
- Alpharetta, GA
National Provider Identifier
1114149192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- INTERVENTIONAL RADIOLOGY ASSOC OF ATLANTA PC
- Practice address
- 4205 N Point Pkwy
Building D
Alpharetta, GA 30022-8808 - Phone
- (770) 619-2767
- Fax
- (770) 619-2760
- NPI assigned
- May 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lisa Sticher
- Title
- Director of Operations
- Phone
- (770) 619-2767
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
4205 N Point Pkwy
Building D
Alpharetta, GA 30022-8808
Mailing address
4205 N Point Pkwy
Building D
Alpharetta, GA 30022-8808
Phone (770) 619-2767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1623608 | Other | GA | CIGNA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Body Imaging Physician
- Orange, CA
- NPI 1235191966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214179200000",
"number": "1114149192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 N POINT PKWY",
"address_2": "BUILDING D",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300228808",
"telephone_number": "770-619-2767",
"fax_number": "770-619-2760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4205 N POINT PKWY",
"address_2": "BUILDING D",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300228808",
"telephone_number": "770-619-2767",
"fax_number": "770-619-2760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERVENTIONAL RADIOLOGY ASSOC OF ATLANTA PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-02",
"last_updated": "2008-06-23",
"status": "A",
"authorized_official_last_name": "STICHER",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "770-619-2767",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1623608",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.