Organization Active NPI

Alliance Health Care Inc

  • Diagnostic Radiology Physician
  • Lawrenceville, GA
National Provider Identifier
1346740230
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
66399 Issued in GA
Legal business name
ALLIANCE HEALTH CARE INC
Practice address
3545 Cruse Rd Ste 103
Lawrenceville, GA 30044-3169
Phone
(770) 456-5666
Fax
(770) 456-5726
NPI assigned
Feb 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Sharon Selena Duncan
Title
Manager
Phone
(205) 588-4779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 66399 GA Primary

Addresses

Primary practice location

3545 Cruse Rd Ste 103
Lawrenceville, GA 30044-3169

Mailing address

3545 Cruse Rd Ste 103
Lawrenceville, GA 30044-3169
Phone (770) 456-5666

Other identifiers 1

IdentifierTypeStateIssuer
475566527OtherGARADIOLOGY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1346740230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 CRUSE RD STE 103",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300443169",
            "telephone_number": "770-456-5666",
            "fax_number": "770-456-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 CRUSE RD STE 103",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300443169",
            "telephone_number": "770-456-5666",
            "fax_number": "770-456-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "SELENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "205-588-4779"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "66399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RADIOLOGY",
            "identifier": "475566527",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.