Organization Active NPI

Chatham Radiologists, PA

  • Diagnostic Radiology Physician
  • Savannah, GA
National Provider Identifier
1285663443
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CHATHAM RADIOLOGISTS, PA
Practice address
5354 Reynolds St.
Ste. 102
Savannah, GA 31405-6008
Phone
(912) 355-2116
Fax
(912) 355-3653
NPI assigned
Jul 1, 2006
Last updated
Dec 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Ms. Cindy Edenfield, ADMINISTRATOR
Title
Administrator
Phone
(912) 355-2116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

5354 Reynolds St.
Ste. 102
Savannah, GA 31405-6008

Mailing address

5354 Reynolds St.
Ste. 102
Savannah, GA 31405-6008
Phone (912) 355-2116

Other identifiers 2

IdentifierTypeStateIssuer
300019740AMedicaidGA
CA1131OtherGARR MEDICARE

National Provider Directory

National Provider Directory

Locations

5354 Reynolds St
Ste 102
Savannah, GA 31405
Phone (912) 355-2116

3 S Park Cir
Ste 24
Charleston, SC 29407

3 S Park Cir
Ste 240
Charleston, SC 29407

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1285663443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5354 REYNOLDS ST.",
            "address_2": "STE. 102",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056008",
            "telephone_number": "912-355-2116",
            "fax_number": "912-355-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 REYNOLDS ST.",
            "address_2": "STE. 102",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056008",
            "telephone_number": "912-355-2116",
            "fax_number": "912-355-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATHAM RADIOLOGISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "EDENFIELD",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "912-355-2116",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300019740A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CA1131",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.