Medical Diagnostics Inc.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

MEDICAL DIAGNOSTICS INC.

Practice address

1401 S Main St
Moultrie, GA 31768-5811

Phone

(229) 985-1515

Fax

(229) 890-5360

NPI assigned

May 15, 2006

Organization subpart

No

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

Authorized official

Name

Earl Franklin Tucker, RDCS, RVT, RVS, RCS

Title

President

Phone

(229) 985-1515

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William W Ellis, MD

  • Cardiovascular Disease Physician
  • Thomasville, GA
  • NPI 1073515300
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154372035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S MAIN ST",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317685811",
            "telephone_number": "229-985-1515",
            "fax_number": "229-890-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S MAIN ST",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317685811",
            "telephone_number": "229-985-1515",
            "fax_number": "229-890-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DIAGNOSTICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-985-1515",
        "authorized_official_credential": "RDCS, RVT, RVS, RCS"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00375955A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McKinney Therapy LLC
• Maresa McKinney, LPC
• Meagan Elise McKinnon, PA-C
• Benjamin L McLeod, NP
• Christopher Neil Medders, NP
• Medical Specialty Associates, Inc.
• Carol Asfoura Medina, MD
• Linnea Ane Mehls, MD
• Howard Laney Melton, M.D.
• Gailey Ann Merritt, SLP

• Radiology Clinic/Center in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Radiology Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.