Organization Active NPI

Diagnostic Radiology & Imaging LLC

Doing business as Greensboro Imaging

  • Diagnostic Radiology Physician
  • Greensboro, NC
National Provider Identifier
1265469795
Registry record updated Oct 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
DIAGNOSTIC RADIOLOGY & IMAGING LLC
Doing business as
Greensboro Imaging
Practice address
315 W Wendover Ave
Greensboro, NC 27408-8401
Phone
(336) 433-5000
Fax
(336) 433-5111
NPI assigned
Jun 28, 2006
Last updated
Oct 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2026

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

Authorized official

Name
Kelli Annette Collins
Title
Coo
Phone
(336) 433-5010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

315 W Wendover Ave
Greensboro, NC 27408-8401

Mailing address

1150 Revolution Mill Dr Ste 9
Greensboro, NC 27405-5086
Phone (336) 280-4003

Other names 1

  • Greensboro Imaging Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://cpiapigateway.cms.gov/api/esmdf/ext/v1/fhir/Practitioner/ Other Management Services Network, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, HI, CA, PA, WA, MA, TX, SC, TN, CO, GA, AL, VA, NV, DC, ID, NY, FL18 enrollments

Enrollment records 18

Enrollment IDStateProvider typePAC IDDetails
O20040204001013 NC Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 135 practitioners
2 other NPIs on this enrollment
O20190723001445 HI Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 12 practitioners
Practice locations: Honolulu, HI
O20200129002157 CA Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 3 practitioners
Practice locations: California, CA; Corte Madera, CA; Fresno, CA; San Francisco, CA; Tarzana, CA; Berkeley, CA
O20200327001709 PA Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA; Sewickley, PA
O20200416001282 WA Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 2 practitioners
Practice locations: Fox Island, WA; Seattle, WA
O20200624002188 MA Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 2 practitioners
Practice locations: Westwood, MA; Chatham, MA
O20201019003174 TX Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 5 practitioners
Practice locations: Abilene, TX; Denton, TX; Fair Oaks Ranch, TX; Highland Village, TX; Southlake, TX
O20201210001558 SC Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 6 practitioners
Practice locations: Myrtle Beach, SC; Greenville, SC; Charleston, SC; Daniel Island, SC
O20221007000471 TN Part B Supplier - Clinic/Group Practice 4183517097 Practice locations: College Grove, TN
O20230511000093 CO Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 2 practitioners
Practice locations: Boulder, CO; Colorado Springs, CO
O20230519001941 GA Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA
O20230522000123 AL Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 1 practitioner
Practice locations: Bessemer, AL
O20240116002884 VA Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 2 practitioners
Practice locations: Winchester, VA; Woodbridge, VA
O20240119002265 NV Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV
O20240322000100 DC Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 2 practitioners
Practice locations: Fairfax Station, VA; Herndon, VA; MC Lean, VA; Washington, DC
O20240426000256 ID Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 1 practitioner
Practice locations: Idaho Falls, ID
O20240508002753 NY Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 3 practitioners
Practice locations: Manlius, NY; New York, NY; White Plains, NY
O20250515000406 FL Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 10 practitioners
Practice locations: Lighthouse Point, FL; Winter Garden, FL; Vero Beach, FL; Tarpon Springs, FL; Tampa, FL; Sarasota, FL; Saint Johns, FL; Miami, FL…

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1936 University Ave
Ste 28
Berkeley, CA 94704

1936 University Ave
Ste 280
Berkeley, CA 94704
Phone (510) 204-0688

1357 Kapiolani Blvd
Unit 48
Honolulu, HI 96814

4030 Oaks Professional Pkwy
Burlington, NC 27215

4030 Oaks Professional Pkwy
Ste 101
Burlington, NC 27215

4030 Oaks Professional Pkwy
Ste 101DRI
Burlington, NC 27215

1002 N Church St
Ste 401
Greensboro, NC 27401
Phone (336) 271-4999

1126 N Church St
Ste 20
Greensboro, NC 27401

1150 Revolution Mill Dr
Ste 9
Greensboro, NC 27405

315 W Wendover Ave
Greensboro, NC 27408
Phone (336) 273-0530

2630 Willard Dairy Rd
Ste A
High Point, NC 27265
Phone (336) 884-3600

4035 Premier Dr
Ste 111
High Point, NC 27265

4515 Premier Dr
Ste 101
High Point, NC 27265
Phone (336) 801-5800

606 N Elm St
High Point, NC 27262
Phone (336) 884-0224

624 Quaker Ln
Ste C103
High Point, NC 27262
Phone (336) 882-0220

11009 Ingleside Pl
Ste 103
Raleigh, NC 27614
Phone (919) 752-7284

945 Golf House Rd W
Whitsett, NC 27377
Phone (336) 449-4602

1803 Forest Hills Rd W
Wilson, NC 27893
Phone (252) 243-9629

3537 S Interstate 35 E
Ste 211
Denton, TX 76210
Phone (940) 243-7200

Practitioners & affiliated clinicians

Practitioners 193

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.

View all 193

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792195200000",
    "number": "1265469795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 REVOLUTION MILL DR STE 9",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055086",
            "telephone_number": "336-280-4003",
            "fax_number": "336-303-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W WENDOVER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274088401",
            "telephone_number": "336-433-5000",
            "fax_number": "336-433-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC RADIOLOGY & IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2026-10-17",
        "certification_date": "2026-10-17",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "336-433-5010"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://cpiapigateway.cms.gov/api/esmdf/ext/v1/fhir/Practitioner/",
            "affiliation": "Y",
            "endpointDescription": "urn:oid:2.16.840.1.113883.3.1036.1",
            "affiliationName": "Management Services Network, LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2357 Warm Springs Rd Ste 400",
            "city": "Columbus",
            "state": "GA",
            "country_code": "US",
            "postal_code": "319046874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Greensboro Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2026; 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.