Active NPI
Carolina Radiological Associates, LLC
- Diagnostic Radiology Physician
- Aiken, SC
National Provider Identifier
1356443683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- CAROLINA RADIOLOGICAL ASSOCIATES, LLC
- Practice address
- 302 University Prkwy.
Aiken, SC 29802 - Phone
- (706) 737-4575
- Fax
- (706) 731-5289
- NPI assigned
- Sep 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alfonso Gay Jr., MD
- Title
- MD / Partner
- Phone
- (803) 644-1357
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | |||
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | |||
| Neuroradiology Physician | 2085N0700X | |||
| Nuclear Radiology Physician | 2085N0904X | |||
| Pediatric Radiology Physician | 2085P0229X | |||
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Vascular & Interventional Radiology Physician | 2085R0204X | |||
| Diagnostic Ultrasound Physician | 2085U0001X | |||
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | |||
| Radiology Clinic/Center | 261QR0200X | |||
| Mammography Clinic/Center | 261QR0206X |
Addresses
Primary practice location
302 University Prkwy.
Aiken, SC 29802
Mailing address
P.O. Box 3847
1125 Troupe Street
Augusta, GA 30914-3847
Phone (706) 667-7450
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 608241300 | Other | ACS DOL | |
| 608241301 | Other | FEDERAL BLACK LUNG | |
| GP4161 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
400 Medical Park Dr
Aiken, SC 29801
Phone (803) 641-5065
150 University Pkwy
Aiken, SC 29801
Phone (803) 643-1977
121 Aurora Pl
Aiken, SC 29801
Phone (803) 648-0803
430 Society Hill Dr
Aiken, SC 29803
Phone (803) 502-5020
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Cartersville, GA
- NPI 1235188244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630368000000",
"number": "1356443683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 3847",
"address_2": "1125 TROUPE STREET",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309143847",
"telephone_number": "706-667-7450",
"fax_number": "706-731-5289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 UNIVERSITY PRKWY.",
"city": "AIKEN",
"state": "SC",
"postal_code": "29802",
"telephone_number": "706-737-4575",
"fax_number": "706-731-5289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA RADIOLOGICAL ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-05",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A",
"authorized_official_last_name": "GAY",
"authorized_official_first_name": "ALFONSO",
"authorized_official_title_or_position": "MD / PARTNER",
"authorized_official_telephone_number": "803-644-1357",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085D0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Neuroradiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Nuclear Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Pediatric Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0206X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mammography",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS DOL",
"identifier": "608241300",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLACK LUNG",
"identifier": "608241301",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4161",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.