Active NPI
Digital Mammography Specialists - Conyers, LLC
- Mammography Clinic/Center
- Conyers, GA
National Provider Identifier
1255619441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mammography Clinic/Center
- Legal business name
- DIGITAL MAMMOGRAPHY SPECIALISTS - CONYERS, LLC
- Practice address
- 3242 Avalon Blvd.
Conyers, GA 30013 - Phone
- (678) 904-6823
- Fax
- (678) 904-6824
- NPI assigned
- Jul 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Manju Morrissey, M.D.
- Title
- Ceo
- Phone
- (866) 917-2806
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mammography Clinic/Center | 261QR0206X | Primary |
Addresses
Primary practice location
3242 Avalon Blvd.
Conyers, GA 30013
Mailing address
3242 Avalon Blvd
Conyers, GA 30013-6320
Phone (678) 904-6823
Other names 1
- DMS - Conyers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111121000392 | GA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 4284808635 | Practice locations: Conyers, GA |
National Provider Directory
National Provider DirectoryLocations
200 Arizona Ave NE
Ste 200
Atlanta, GA 30307
Phone (678) 904-6820
3242 Avalon Blvd
Conyers, GA 30013
Phone (678) 904-6823
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1750776183
-
- Diagnostic Radiology Physician
- Norfolk, VA
- NPI 1366654162
-
- Diagnostic Radiology Physician
- Lee, NH
- NPI 1326124629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568678400000",
"number": "1255619441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3242 AVALON BLVD",
"city": "CONYERS",
"state": "GA",
"postal_code": "300136320",
"telephone_number": "678-904-6823",
"fax_number": "770-679-1425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3242 AVALON BLVD.",
"city": "CONYERS",
"state": "GA",
"postal_code": "30013",
"telephone_number": "678-904-6823",
"fax_number": "678-904-6824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGITAL MAMMOGRAPHY SPECIALISTS - CONYERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-22",
"last_updated": "2019-09-17",
"status": "A",
"authorized_official_last_name": "MORRISSEY",
"authorized_official_first_name": "MANJU",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "866-917-2806",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QR0206X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mammography",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DMS - Conyers",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "DMS - Conyers",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Conyers, GA
- Destined Point Diagnostics
- Developmental & Rehabilitative Services 2, Inc
- Devotionmobilephlebotomyservicesco.LLC
- Diabetes and Endocrinology Associates East
- Christina Diamond
- Gayla Janine Dillard, M.D.
- Divine Case Management Services, LLC
- Eshema Dixon, RBT
- Jo-Ann Dixon
- DLS Research & Ventures (Professional Diagnostic Solutions)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.