George Regional Radiology

Primary specialty

SpecialistTaxonomy code 174400000X

License

19622 Issued in MS

Legal business name

GEORGE REGIONAL RADIOLOGY

Practice address

92 Ratliff St
Lucedale, MS 39452-6537

Phone

(601) 947-8181

NPI assigned

Oct 16, 2008

Last updated

Dec 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kathy Fender

Title

Administrator

Phone

(601) 947-8181

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 2

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.

• Leigh Ann Cashwell, MD

  • Diagnostic Radiology Physician
  • Lucedale, MS
  • NPI 1740206515
  Medicare reassignment NPD
• Brandon Woodfin Nichols, M.D.

  • Diagnostic Radiology Physician
  • Mobile, AL
  • NPI 1457549891

  MS

  Medicare reassignment NPD

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293667200000",
    "number": "1174775589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "39452",
            "telephone_number": "601-947-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 RATLIFF ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526537",
            "telephone_number": "601-947-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE REGIONAL RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2010-12-30",
        "status": "A",
        "authorized_official_last_name": "FENDER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-947-8181",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "19622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "512G700430",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA MCARE",
            "identifier": "P00684671",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George County School District
• George County School District
• George Regional ER Physicians
• George Regional Health and Rehab Center
• George Regional Hospital
• Steven Blakely Georgian
• Benjamin Giuffria, MD
• Vivian Leigh Goodwin
• Joy Byrd Gough, OT
• Rebecca Graves, CFNP

• Specialist in Lucedale, MS
• Providers in Lucedale, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.