Individual provider Active NPI

Ashley Blanchard

  • Diagnostic Radiology Physician
  • Marietta, GA
National Provider Identifier
1144718115
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
99574 Issued in GA
Practice address
790 Church St NE Ste 400
Marietta, GA 30060-8957
Phone
(770) 405-2976
NPI assigned
Apr 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 99574 GA Primary

Addresses

Primary practice location

790 Church St NE Ste 400
Marietta, GA 30060-8957

Mailing address

PO Box 3157
Indianapolis, IN 46206-3157

Other practice location 1

601 N Caroline St
Baltimore, MD 21287-0006
Phone (410) 955-6500

Other names 1

  • Ashley Hill Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240729003316 GA Practitioner - Diagnostic Radiology 5395079024 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Baylor College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro Radiology LLCGroup PAC ID 1052696432, 112 clinicians
Quantum Radiology PCGroup PAC ID 4385543230, 105 clinicians

Practice addresses (Care Compare)

60 Peachtree Park Dr NE
Suite 100
Atlanta, GA 30309-1304
Phone (678) 278-8800

790 Church St NE
Suite 400
Marietta, GA 30060-8957
Phone (770) 952-8899

Hospital & facility affiliations

  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Wellstar Paulding Medical Center Hospital, Hiram, GA, CCN 110042
  • Wellstar North Fulton Medical Center Hospital, Roswell, GA, CCN 110198
  • Wellstar Douglas Medical Center Hospital, Douglasville, GA, CCN 110184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
99574GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Imaging of Georgia, LLC CurrentSince Aug 19, 2024 Accepting new patients
Quantum Radiology, PC Diagnostic Radiology CurrentSince Jul 22, 2024 Accepting new patients
Synergy Radiology, LLC CurrentSince Aug 6, 2024 Accepting new patients
Synergy Radiology, LLC Diagnostic Radiology CurrentSince Aug 6, 2024 Accepting new patients
M & B Imaging, PC Diagnostic Radiology CurrentSince Aug 6, 2024 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Aug 19, 2024 Accepting new patients
Pro Radiology, LLC CurrentSince Jul 30, 2024 Accepting new patients
Pro Radiology, LLC Diagnostic Radiology CurrentSince Jul 30, 2024 Accepting new patients
American Health Imaging of Georgia, LLC PastSince Aug 19, 2024 Accepting new patients

Locations (25 of 60)

4550 Cobb Parkway North NW
Ste 109
Acworth, GA 30101
Phone (470) 956-0079

2450 Old Milton Pkwy
Alpharetta, GA 30009
Phone (470) 267-0360

5655 Atlanta Hwy
Alpharetta, GA 30004
Phone (770) 691-0819

12460 Crabapple Rd
Alpharetta, GA 30004
Phone (678) 762-0574

60 Peachtree Park Dr NE
#100
Atlanta, GA 30309
Phone (678) 278-8800

3730 Carmia Dr SW
Ste 110
Atlanta, GA 30331
Phone (404) 344-7286

3890 Redwine Rd SW
Ste 104
Atlanta, GA 30331
Phone (404) 629-4700

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1625 Hospital North Dr
Austell, GA 30106
Phone (770) 732-6950

1680 Hospital South Dr
Austell, GA 30106
Phone (678) 945-2100

1025 E West Connector
Ste 520
Austell, GA 30106
Phone (678) 273-3071

1501 Milstead Rd NE
Ste 140
Conyers, GA 30012

925 Sanders Rd
Cumming, GA 30041
Phone (404) 567-6500

120 Greystone Power Blvd
Dallas, GA 30157
Phone (470) 267-1540

6001 Professional Pkwy
Douglasville, GA 30134
Phone (404) 274-7335

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

6002 Professional Pkwy
Ste 260
Douglasville, GA 30134
Phone (470) 644-5411

4244 Washington Rd
Evans, GA 30809
Phone (706) 619-1869

307 W Robinson Ave
Grovetown, GA 30813

144 Bill Carruth Pkwy
Hiram, GA 30141

148 Bill Carruth Pkwy
Ste LL20
Hiram, GA 30141
Phone (770) 443-7700

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (470) 644-7000

1120 Wellstar Way
Holly Springs, GA 30114

1550 Kennesaw Due West Rd NW
Kennesaw, GA 30152
Phone (770) 423-9525

3980 Jiles Rd NW
Kennesaw, GA 30144
Phone (678) 504-0100

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1144718115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3157",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CHURCH ST NE STE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608957",
            "telephone_number": "770-405-2976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N Caroline St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870006",
            "country_code": "US",
            "telephone_number": "410-955-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "99574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "HILL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.