Individual provider Active NPI

Justin Robert Newman, M.D.

  • Diagnostic Radiology Physician
  • Grand Rapids, MI
National Provider Identifier
1295901221
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301518189 Issued in MI
Practice address
3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone
(616) 363-7272
NPI assigned
Apr 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301518189 MI Primary
Diagnostic Radiology Physician 2085R0202X 47152 TN

Addresses

Primary practice location

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746

Mailing address

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone (616) 363-7272

Other practice location 1

1030 Jefferson Ave
Memphis, TN 38104-2127
Phone (901) 921-9150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 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

Enrollment IDStateProvider typePAC IDDetails
I20241015004775 GA Practitioner - Diagnostic Radiology 5092953232 Reassigns benefits to 5 organizations
I20250213003275 FL Practitioner - Diagnostic Radiology 5092953232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Imaging Solutions LLCGroup PAC ID 0042464364, 22 clinicians
Synergy Radiology LLCGroup PAC ID 2668727744, 73 clinicians
Columbus Diagnostic Center IncGroup PAC ID 3375455884, 25 clinicians

Practice addresses (Care Compare)

105 Grand Central Blvd
Suite 106
Pooler, GA 31322-4148
Phone (912) 355-6255

1501 Milstead Rd NE
Suite 140
Conyers, GA 30012-3849
Phone (678) 374-7322

213 Arezzo CT
Sanford, FL 32771-8132
Phone (716) 994-7667

Merit-based Incentive Payment System (MIPS)

Final score
88.97 of 100Reported as group
Quality
92.01
Improvement activities
40
Cost
77.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47152TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Imaging of Georgia LLC CurrentSince May 22, 2025 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Nov 14, 2025 Accepting new patients
Columbus Diagnostic Center Inc Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Nov 22, 2024 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Nov 12, 2024 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Dec 11, 2024 Accepting new patients
M & B Imaging, PC Diagnostic Radiology CurrentSince Sep 6, 2025 Accepting new patients
Elite MRI of Laurens, LLC CurrentSince Dec 11, 2024 Accepting new patients
Coastal Imaging Solutions LLC CurrentSince Aug 1, 2024 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Aug 19, 2024 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Jan 30, 2026 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Nov 26, 2024 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Dec 23, 2024 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Dec 11, 2024 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Jan 13, 2025 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Oct 28, 2024 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Sep 12, 2023 Accepting new patients
Nassau Open MRI LLC CurrentSince Dec 11, 2024 Accepting new patients
Vision Imaging Center LLC CurrentSince Mar 1, 2025 Accepting new patients
Pro Radiology, LLC CurrentSince May 1, 2025 Accepting new patients
Suncoast Open MRI LLC Diagnostic Radiology CurrentSince Dec 11, 2024 Accepting new patients
American Health Imaging of South Carolina, LLC CurrentSince Jan 27, 2026 Accepting new patients
Pro Radiology, LLC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Synergy Radiology, LLC Diagnostic Radiology CurrentSince Oct 17, 2024 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Nov 18, 2024 Accepting new patients
Physicians MRI Inc CurrentSince Dec 11, 2024 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Aug 19, 2024 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Nov 19, 2025 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Nov 25, 2024 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Dec 6, 2024 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Nov 24, 2025 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Jul 22, 2025 Accepting new patients
American Health Imaging of South Carolina, LLC CurrentSince Nov 24, 2025 Accepting new patients
American Health Imaging of Florida LLC CurrentSince Dec 13, 2024 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Jul 23, 2025 Accepting new patients
American Health Imaging of South Carolina, LLC CurrentSince Dec 5, 2024 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Nov 6, 2024 Accepting new patients
Synergy Radiology, LLC PastSince Jul 21, 2024 Accepting new patients

Locations

511 E 23rd St
Panama City, FL 32405
Phone (850) 747-1140

60 Peachtree Park Dr NE
#100
Atlanta, GA 30309
Phone (678) 278-8800

2040 10th Ave
Columbus, GA 31901
Phone (706) 322-3000

7500 Veterans Pkwy
Ste B
Columbus, GA 31909
Phone (706) 323-7622

1501 Milstead Rd NE
Ste 140
Conyers, GA 30012

113 Fairview Park Dr
Ste A
Dublin, GA 31021
Phone (478) 275-8895

1504 Hardeman Ave
Ste B
Macon, GA 31201
Phone (478) 745-3135

105 Grand Central Blvd
Ste 106
Pooler, GA 31322
Phone (912) 355-6255

503 Eisenhower Dr
Savannah, GA 31406
Phone (912) 355-6255

3921 Johns Creek Ct
Ste B
Suwanee, GA 30024
Phone (770) 217-7414

2544 E Pinetree Blvd
Thomasville, GA 31792
Phone (229) 516-1411

Interoperability endpoints

  • Direct secure messaging: jnewman27624@mlh.direct-ci.com

Organizations & group practices 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1295901221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3264 N EVERGREEN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259746",
            "telephone_number": "616-363-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3264 N EVERGREEN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259746",
            "telephone_number": "616-363-7272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381042127",
            "country_code": "US",
            "telephone_number": "901-921-9150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "JUSTIN",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301518189",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "47152",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.