NPIMap

Organization Active NPI

Radiology Associates of North Georgia

  • Diagnostic Radiology Physician
  • Athens, GA
National Provider Identifier
1285124834
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY ASSOCIATES OF NORTH GEORGIA
Practice address
1199 Prince Ave
Athens, GA 30606-2797
Phone
(706) 389-3075
Fax
(706) 389-3076
NPI assigned
May 18, 2018
Last updated
Nov 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
Clark Davis
Title
Practice Administrator
Phone
(706) 850-5001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

1199 Prince Ave
Athens, GA 30606-2797

Mailing address

PO Box 7547
Athens, GA 30604-7547
Phone (706) 389-3075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20180808000356 GA Part B Supplier - Clinic/Group Practice 2163770140 Receives reassigned benefits from 1 practitioner
Practice locations: Athens, GA
O20190603000252 GA Part B Supplier - Clinic/Group Practice 2769715044 Receives reassigned benefits from 40 practitioners
Practice locations: Watkinsville, GA; Royston, GA; Monroe, GA; Athens, GA; Alpharetta, GA
O20251120001161 SC Part B Supplier - Clinic/Group Practice 2769715044 Receives reassigned benefits from 1 practitioner
Practice locations: Travelers Rest, SC

National Provider Directory

National Provider Directory

Member of 1

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

Locations

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

1357 Oconee Connector
Bldg 300
Watkinsville, GA 30677
Phone (706) 250-7796

Practitioners & affiliated clinicians

Practitioners 49

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 49

NPI Registry JSON

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1285124834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7547",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306047547",
            "telephone_number": "706-389-3075",
            "fax_number": "706-389-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062797",
            "telephone_number": "706-389-3075",
            "fax_number": "706-389-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY ASSOCIATES OF NORTH GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CLARK",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "706-850-5001"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.

Verify at the official NPI Registry.