Active NPI
Tosaporn Krasaeath, MD
- Diagnostic Radiology Physician
- Vidalia, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 026884
- Practice address
- 1703 Meadows LN
Vidalia, GA 30474-8915 - Phone
- (800) 382-4023
- NPI assigned
- Nov 14, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 026884 | GA | Primary |
Addresses
Primary practice location
1703 Meadows LN
Vidalia, GA 30474-8915
Mailing address
PO Box 2049
Moultrie, GA 31776-2049
Phone (800) 382-4023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4700 Waters Ave
Savannah, GA 31404-6283
Phone (912) 350-8436
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026884 | GA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Radiology Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Atlantic Radiology Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Bca Georgia, LLC | Current | Accepting new patients | |
| South Georgia Radiology Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Vidalia Radiology Associates | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 75)
172 Mj Taylor Rd
Adel, GA 31620
Phone (229) 896-3424
260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290
2822 Nottingham Way
Ste 3
Albany, GA 31707
Phone (229) 304-5261
302 S Wayne St
Alma, GA 31510
Phone (912) 632-8961
611 E Washington Ave
Ashburn, GA 31714
Phone (229) 353-2500
1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100
100 Highway 18 W
Barnesville, GA 30204
Phone (770) 358-0674
163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847
277 Lackawanna St
Baxley, GA 31513
Phone (912) 366-1362
950 S Main St
Ste 2
Baxley, GA 31513
Phone (912) 367-2596
19 Doctors Way
Ste A
Blairsville, GA 30512
35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812
630 Columbia St
Blakely, GA 39823
Phone (229) 723-4241
2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263
209 N Cuthbert St
Colquitt, GA 39837
Phone (229) 758-3385
902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100
541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000
200 Fairview Park Dr
Dublin, GA 31021
Phone (478) 272-6150
1120 Indian Dr
Eastman, GA 31023
Phone (478) 354-4220
820 2nd Ave
Eastman, GA 31023
Phone (478) 374-5511
901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000
101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907
4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527
200 Perry House Rd
Fitzgerald, GA 31750
Phone (229) 424-1461
88 Martin Luther King Jr Dr
Forsyth, GA 31029
Phone (419) 994-2521
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- Savannah, GA
- NPI 1033136080
-
- Diagnostic Radiology Physician
- Savannah, GA
- NPI 1760669931
-
- Diagnostic Radiology Physician
- Vidalia, GA
- NPI 1659353936
-
dba Eisenhower Imaging Center
- Diagnostic Radiology Physician
- Savannah, GA
- NPI 1164397378
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Effingham Health System
- Critical Access Hospital
- Springfield, GA
- NPI 1811962756
-
dba Liberty Regional Medical Center
- Critical Access Hospital
- Hinesville, GA
- NPI 1326079260
-
dba Memorial Health University Medical Center
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
-
dba appling healthcare system
- General Acute Care Hospital
- Baxley, GA
- NPI 1861615304
-
- General Acute Care Hospital
- Vidalia, GA
- NPI 1790376564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366424640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2049",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317762049",
"telephone_number": "800-382-4023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 MEADOWS LN",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304748915",
"telephone_number": "800-382-4023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRASAEATH",
"first_name": "TOSAPORN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "026884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vidalia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.