Organization Active NPI

Aic of Dawsonville, LLC

  • Radiology Clinic/Center
  • Dawsonville, GA
National Provider Identifier
1144536996
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
AIC OF DAWSONVILLE, LLC
Practice address
91 Nordson Overlook
Suite 102
Dawsonville, GA 30534-0990
Phone
(888) 942-5272
Fax
(678) 302-7215
NPI assigned
Aug 30, 2010
Last updated
Aug 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Authorized official

Name
Ms. Latonya Greene
Title
Ceo
Phone
(678) 232-1574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

91 Nordson Overlook
Suite 102
Dawsonville, GA 30534-0990

Mailing address

201 17TH St NW
Suite 300
Atlanta, GA 30363-1098
Phone (888) 942-5272

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

91 Nordson Overlook
Ste 102
Dawsonville, GA 30534
Phone (678) 232-1574

Practitioners & affiliated clinicians

Practitioners 1

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": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1144536996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 17TH ST NW",
            "address_2": "SUITE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303631098",
            "telephone_number": "888-942-5272",
            "fax_number": "678-302-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 NORDSON OVERLOOK",
            "address_2": "SUITE 102",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305340990",
            "telephone_number": "888-942-5272",
            "fax_number": "678-302-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIC OF DAWSONVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-232-1574",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.