Tbi Diagnostic Centers of Georgia

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

TBI DIAGNOSTIC CENTERS OF GEORGIA

Practice address

4294 Memorial Dr Ste D
Decatur, GA 30032-1226

Phone

(678) 203-8802

NPI assigned

Aug 21, 2020

Organization subpart

No

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

Authorized official

Name

Gairy Johnson

Title

Managing Partner

Phone

(678) 203-8802

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1326650136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 QUIVAS CT SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303317524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4294 MEMORIAL DR STE D",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321226",
            "telephone_number": "678-203-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TBI DIAGNOSTIC CENTERS OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GAIRY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "678-203-8802"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Taylor, PA-C
• Mary Suzanne Taylor, PSYD
• Michelle Rose Nicole Taylor
• Sybil Howard Taylor
• Tangenique Taylor, OTR/L
• Tbi3 Georgia LLC
• Valerie Tchinang, CNM
• TD Wellness, LLC (Orozco Nutrition)
• Team Management 2000 Inc
• Teddy Dental Inc

• Diagnostic Radiology Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.