John L Bundrick, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

080497 Issued in GA

Practice address

705 Dixie Street
Carrollton, GA 30117

Phone

(770) 834-0751

Fax

(770) 834-0753

NPI assigned

May 4, 2012

Last updated

Jun 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, AL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Diagnostic Radiology

Education

Louisiana State University School of Medicine in Shreveport, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Associates of North GeorgiaGroup PAC ID 2769715044, 36 clinicians

Athens Radiology Associates PCGroup PAC ID 2860486107, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074
• St Mary's Hospital Hospital, Athens, GA, CCN 110006
• St Marys Good Samaritan Hospital Hospital, Greensboro, GA, CCN 111329
• Piedmont Walton Hospital Hospital, Monroe, GA, CCN 110046
• Ty Cobb Regional Medical Center, LLC Hospital, Lavonia, GA, CCN 110027

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Athens Radiology Associates PC

  • Diagnostic Radiology Physician
  • Athens, GA
  • NPI 1932189685
  Medicare reassignment Care Compare group NPD
• Radiology Associates of North Georgia

  • Diagnostic Radiology Physician
  • Athens, GA
  • NPI 1285124834
  Medicare reassignment Care Compare group NPD
• Georgia West Imaging, PC

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1083689251
  Medicare reassignment NPD
• Griffin Imaging, LLC

  • Radiology Clinic/Center
  • Griffin, GA
  • NPI 1700199940

  Diagnostic Radiology

  Medicare reassignment NPD
• M & B Imaging, PC

  • Radiology Clinic/Center
  • Gainesville, GA
  • NPI 1932624723

  Diagnostic Radiology

  Medicare reassignment NPD
• Synergy Radiology, LLC

  dba American Health Imaging of Conyers

  • Radiology Clinic/Center
  • Conyers, GA
  • NPI 1558886341

  Diagnostic Radiology

  Medicare reassignment NPD
• American Health Imaging of Georgia LLC

  dba American Health Imaging of Newnan LLC

  • Radiology Clinic/Center
  • Newnan, GA
  • NPI 1144206764
  NPD
• American Health Imaging of Georgia, LLC

  dba American Health Imaging of Athens Baxter Street

  • Radiology Clinic/Center
  • Athens, GA
  • NPI 1255091898
  NPD
• Griffin Imaging, LLC

  dba Griffin Open MRI

  • Radiology Clinic/Center
  • Griffin, GA
  • NPI 1154884674

  Diagnostic Radiology

  NPD
• Outpatient Imaging, LLC

  • Diagnostic Radiology Physician
  • Peachtree City, GA
  • NPI 1053386219
  NPD
• Synergy Radiology, LLC

  dba American Health Imaging of Douglasville, LLC

  • Radiology Clinic/Center
  • Douglasville, GA
  • NPI 1588229918
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Piedmont Athens Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Athens, GA
  • NPI 1437186111
  Care Compare affiliation
• Piedmont Walton Hospital Inc

  • General Acute Care Hospital
  • Monroe, GA
  • NPI 1720589328
  Care Compare affiliation
• St. Mary's Good Samaritan Hospital, Inc.

  dba St. Mary's Good Samaritan Hospital

  • Critical Access Hospital
  • Greensboro, GA
  • NPI 1346209137
  Care Compare affiliation
• St. Mary's Hospital, Inc.

  dba St. Mary's Hospital

  • General Acute Care Hospital
  • Athens, GA
  • NPI 1871556621
  Care Compare affiliation
• St. Mary's Sacred Heart Hospital, Inc.

  • Rural Acute Care Hospital
  • Lavonia, GA
  • NPI 1518354778
  Care Compare affiliation

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1265791784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 639219",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639219",
            "telephone_number": "770-834-0751",
            "fax_number": "770-834-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 DIXIE STREET",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "30117",
            "telephone_number": "770-834-0751",
            "fax_number": "770-834-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDRICK",
        "first_name": "JOHN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-04",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "080497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darin M Brummett, M.D.
• Scott A Brundrett, DDS
• Ariana Dawn Buchanan, MD
• Brian Gordon Buck, CRNA
• Brittney Buice
• Lisa Burchett, CRNA
• Heather Caroline Burgess, SLP
• Julie Inez Burke, PMH/CNS/NP
• Erin E Burkhalter, CRNA
• Stephanie Renay Butler, MS,LAPC, NCC

• Diagnostic Radiology Physician in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.