Med Cross Imaging LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

049913 Issued in GA

Legal business name

MED CROSS IMAGING LLC

Practice address

842 Professional Center Dr
Eastman, GA 31023-6734

Phone

(478) 374-4305

Fax

(478) 374-1366

NPI assigned

May 24, 2006

Last updated

Dec 31, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vicki Rotundo

Title

Office Manager

Phone

(478) 374-4305

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 5

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.

• Martha H Garrison, MD

  • Diagnostic Radiology Physician
  • Decatur, GA
  • NPI 1942255757
  NPD (past)
• Wayne G Hulsey, MD

  • Diagnostic Radiology Physician
  • Monroe, GA
  • NPI 1972524270
  NPD (past)
• Robert Anthony Nelson, MD

  • Orthopaedic Surgery Physician
  • Riverdale, GA
  • NPI 1871532937
  NPD (past)
• James P Dunne, MD

  • Internal Medicine Physician
  • Orland Park, IL
  • NPI 1417944281
  NPD (past)
• Juan C Lee, MD

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1205836699

  Specialist

  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1295780518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 PROFESSIONAL CENTER DR",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236734",
            "telephone_number": "478-374-4305",
            "fax_number": "478-374-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 PROFESSIONAL CENTER DR",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236734",
            "telephone_number": "478-374-4305",
            "fax_number": "478-374-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED CROSS IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "ROTUNDO",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "478-374-4305"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "049913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00184214A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "GRP 1184",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00909466B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marty Mathis, PSY D
• Alan P McMahan, MD
• Sandra Nichole McNeal, FNP-C
• Thomas Milton Meadows, M.D.
• Katrina Dion Means, PHARMACIST
• Medical Center Prescription Shop (Prescription Shop)
• Medical Center Prescription Shop
• Mid Georgia Total Care LLC
• Middle Ga Family Practice LLC
• Middle Georgia Family Medicine,LLC

• Specialist in Eastman, GA
• Providers in Eastman, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.