Individual provider Active NPI

David Isaacs, DO

  • Diagnostic Radiology Physician
  • Covington, GA
National Provider Identifier
1295938959
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
69841 Issued in GA
Practice address
5126 Hospital Dr NE
Covington, GA 30014-2566
Phone
(770) 786-7053
Fax
(678) 905-7053
NPI assigned
Jun 8, 2007
Last updated
Jan 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5101016535 MI
Vascular & Interventional Radiology Physician 2085R0204X 69841 GA
Diagnostic Radiology Physician 2085R0202X 69841 GA Primary

Addresses

Primary practice location

5126 Hospital Dr NE
Covington, GA 30014-2566

Mailing address

PO Box 200096
Cartersville, GA 30120-9002
Phone (678) 905-7053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20131104000650 GA Practitioner - Diagnostic Radiology 0840474763 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Kansas City University of Physicians and Surgeons, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Radiology Services P CGroup PAC ID 3577454024, 70 clinicians
Summit Imaging Services LLCGroup PAC ID 9436597945, 71 clinicians

Practice addresses (Care Compare)

101 Regency Park Dr
Suite 100
McDonough, GA 30253-7076
Phone (678) 604-1055

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (678) 604-1000

1240 Eagles Landing Pkwy
Suite 200
Stockbridge, GA 30281-5173
Phone (678) 604-1055

1266 Hwy 515 S
Jasper, GA 30143-4872
Phone (770) 607-7339

1386 Biltmore Dr NE
Atlanta, GA 30329-3558
Phone (770) 607-7339

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

15 Reinhardt College Pkwy
Suite 105
Canton, GA 30114-5259
Phone (770) 720-3353

222 Perry Hwy
Hawkinsville, GA 31036-6748
Phone (770) 607-7339

370 W Highlands Dr
East Ellijay, GA 30540-7743

4181 Hospital Dr NE
Suite 301
Covington, GA 30014-2541
Phone (770) 385-7800

5126 Hospital Dr NE
Covington, GA 30014-2566
Phone (770) 786-7053

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129
Phone (770) 382-1530

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101016535MIMDDiagnostic Radiology Physician
69841GAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Imaging Services LLC Diagnostic Radiology CurrentSince Mar 20, 2024 Accepting new patients
Tanner Imaging Center CurrentSince Jun 1, 2022 Accepting new patients
Quantum Medical Radiology PC Diagnostic Radiology CurrentSince Aug 24, 2014 Accepting new patients
Summit Radiology Services P C Diagnostic Radiology CurrentSince Oct 18, 2017 Accepting new patients
City of Hope Medical Group of Georgia LLC Diagnostic Radiology CurrentSince Oct 8, 2013 Accepting new patients
Tanner Medical Group Inc PastSince Jun 1, 2022 Accepting new patients
Aylo Health, LLC Past Accepting new patients
Aylo Health, LLC Past Accepting new patients

Locations

706 Dixie St
Ste 100
Carrollton, GA 30117
Phone (770) 812-8614

145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

222 Perry Hwy
Hawkinsville, GA 31036
Phone (229) 200-4950

1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

62742 Collections Ctr Dr
Chicago, IL 60693

Organizations & group practices 8

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1295938959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200096",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301209002",
            "telephone_number": "678-905-7053",
            "fax_number": "678-905-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 HOSPITAL DR NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142566",
            "telephone_number": "770-786-7053",
            "fax_number": "678-905-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACS",
        "first_name": "DAVID",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101016535",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "69841",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "69841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.