NPIMap

Individual provider Active NPI

Kathleen M Carrigan, MD

  • Diagnostic Radiology Physician
  • Atlanta, GA
National Provider Identifier
1306072616
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0070959 Issued in MD
Practice address
5775 Glenridge Dr Ste B525
Atlanta, GA 30328-7134
Phone
(404) 252-4709
Fax
(404) 252-8482
NPI assigned
Jun 2, 2009
Last updated
Jan 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X D0070959 MD Primary

Addresses

Primary practice location

5775 Glenridge Dr Ste B525
Atlanta, GA 30328-7134

Mailing address

5775 Glenridge Dr Ste B525
Atlanta, GA 30328-7134
Phone (404) 252-4709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131210001787 GA Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 5395931414 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Macon PCGroup PAC ID 7113817701, 64 clinicians
Georgia Magnetic Imaging Center LTDGroup PAC ID 0042205775, 39 clinicians
Central Georgia MRI LLCGroup PAC ID 5597752261, 46 clinicians

Practice addresses (Care Compare)

1000 Cowles Clinic Way
Pine Building
Greensboro, GA 30642-5285
Phone (706) 454-2660

1960 Hwy 247 Connector
Byron, GA 31008-5663
Phone (478) 654-2000

770 Pine St
Macon, GA 31201-7519
Phone (478) 633-1819

770 Pine St
Suite 290
Macon, GA 31201-7516
Phone (478) 743-1458

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1235

821 N Cobb St
Milledgeville, GA 31061-2343
Phone (478) 776-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0070959MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Magnetic Imaging Center LTD Diagnostic Radiology CurrentSince Oct 16, 2018 Accepting new patients
Central Georgia MRI LLC Diagnostic Radiology CurrentSince Oct 16, 2018 Accepting new patients
Radiology Associates of Macon PC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients

Locations

770 Pine St
Ste 290
Macon, GA 31201
Phone (478) 743-1458

770 Pine St
Ste L15
Macon, GA 31201
Phone (478) 633-1819

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1306072616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 GLENRIDGE DR STE B525",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303287134",
            "telephone_number": "404-252-4709",
            "fax_number": "404-252-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 GLENRIDGE DR STE B525",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303287134",
            "telephone_number": "404-252-4709",
            "fax_number": "404-252-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIGAN",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-02",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0070959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.