NPIMap

Organization Active NPI

Griffin Imaging, LLC

  • Radiology Clinic/Center
  • Griffin, GA
National Provider Identifier
1154884674
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
GRIFFIN IMAGING, LLC
Practice address
655 Will St
Griffin, GA 30224-4236
Phone
(770) 229-4660
Fax
(770) 229-4632
NPI assigned
Apr 11, 2019
Organization subpart
Yes
Parent organization
GRIFFIN IMAGING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Authorized official

Name
Joseph Paul
Title
President
Phone
(706) 256-3450

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Clinic/Center 261Q00000X
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

655 Will St
Griffin, GA 30224-4236

Mailing address

PO Box 931477
Atlanta, GA 31193-1477
Phone (706) 256-3450

Other names 1

  • Griffin Open MRI Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101117000015 GA Part B Supplier - Clinic/Group Practice 9436054129 Receives reassigned benefits from 28 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Griffin, GA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2170132Griffin Open MRI655 Will Street, Griffin, GA 30224Certificate of waiverAug 4, 2027

National Provider Directory

National Provider Directory
Part of
Griffin Imaging LLC

Locations

220 Rock St
Griffin, GA 30224
Phone (770) 229-4660

655 Will St
Griffin, GA 30224
Phone (770) 229-4660

681 S 9th St
#B
Griffin, GA 30224
Phone (770) 229-4660

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1154884674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931477",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311931477",
            "telephone_number": "706-256-3450",
            "fax_number": "706-256-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 WILL ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244236",
            "telephone_number": "770-229-4660",
            "fax_number": "770-229-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIFFIN IMAGING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRIFFIN IMAGING, LLC",
        "enumeration_date": "2019-04-11",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-256-3450"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Griffin Open MRI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Griffin Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.