NPIMap

Organization Active NPI

Vision Imaging Center LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Thomasville, GA
National Provider Identifier
1346947637
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
VISION IMAGING CENTER LLC
Practice address
2544 East Pinetree Boulevard
Thomasville, GA 31792
Phone
(229) 516-1411
NPI assigned
Feb 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Brandi Weaver Warren, DONPI 1417046517
Title
Owner
Phone
(229) 594-6800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary
Radiology Clinic/Center 261QR0200X

Addresses

Primary practice location

2544 East Pinetree Boulevard
Thomasville, GA 31792

Mailing address

2544 East Pinetree Boulevard
Thomasville, GA 31792
Phone (229) 516-1411

Other names 1

  • Vision Imaging Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231107001170 GA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1456719434 Receives reassigned benefits from 23 practitioners
Practice locations: Thomasville, GA

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1346947637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 EAST PINETREE BOULEVARD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "31792",
            "telephone_number": "229-516-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 EAST PINETREE BOULEVARD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "31792",
            "telephone_number": "229-516-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "WEAVER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-594-6800",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vision Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.