MRI & Imaging of Georgia, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

MRI & IMAGING OF GEORGIA, LLC

Practice address

2706 Watson Blvd
Suite D
Warner Robins, GA 31093-2997

Phone

(478) 953-6033

NPI assigned

May 19, 2015

Organization subpart

No

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

Authorized official

Name

Jorge J. Hernandez

Title

VP-Admin, Cco

Phone

(404) 851-6378

Specialties & licenses 1

Addresses

Member of 1

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

• Northside Hospital, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Canton, GA
  • NPI 1770112021

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1275912685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 WATSON BLVD",
            "address_2": "SUITE D",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310932997",
            "telephone_number": "478-953-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRI & IMAGING OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VP-ADMIN, CCO",
        "authorized_official_telephone_number": "404-851-6378"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moss Family Holdings LLC
• Kentrece Moss, LPN
• Kevin Moss
• Timothy Tyrone Moss, LCSW
• Gail R. Mouton, CCC-SLP
• Lina Muhammad
• Bhavana Mundrathi, M.B.B.S.
• Jennifer Heatwole Murphy, MD
• Melissa Lynne Murphy, OT
• Ashli Murray

• Radiology Clinic/Center in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Radiology Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.