Organization Active NPI

Quantum Radiology, PC

  • Diagnostic Radiology Physician
  • Marietta, GA
National Provider Identifier
1366495988
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
QUANTUM RADIOLOGY, PC
Practice address
790 Church St NE
Ste 400
Marietta, GA 30060-7282
Phone
(678) 581-3830
Fax
(678) 581-3680
NPI assigned
May 17, 2006
Last updated
Nov 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Teresa Frank
Title
Credentialing Manager
Phone
(678) 626-0761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

790 Church St NE
Ste 400
Marietta, GA 30060-7282

Mailing address

PO Box 3157
Indianapolis, IN 46206-3157
Phone (855) 871-1526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, IL, TN, FL, CO, TX, WV, AK, MO, HI, WI, NC12 enrollments

Enrollment records 12

Enrollment IDStateProvider typePAC IDDetails
O20040108000728 GA Part B Supplier - Clinic/Group Practice 4385543230 Receives reassigned benefits from 114 practitioners
Practice locations: Marietta, GA; Kennesaw, GA; Cumming, GA; Marrietta, GA; Rome, GA; Roswell, GA; Valdosta, GA; Woodstock, GA…
O20190422002006 IL Part B Supplier - Clinic/Group Practice 4385543230 Receives reassigned benefits from 1 practitioner
Practice locations: South Barrington, IL
O20190612003989 TN Part B Supplier - Clinic/Group Practice 4385543230 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, TN
O20190806001348 FL Part B Supplier - Clinic/Group Practice 4385543230 Receives reassigned benefits from 2 practitioners
Practice locations: Palm Harbor, FL; Tallahassee, FL
O20190812001438 CO Part B Supplier - Clinic/Group Practice 4385543230 Receives reassigned benefits from 1 practitioner
Practice locations: Berthoud, CO
O20190813000891 TX Part B Supplier - Clinic/Group Practice 4385543230 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX; Sugar Land, TX
O20190813002048 WV Part B Supplier - Clinic/Group Practice 4385543230 Receives reassigned benefits from 1 practitioner
Practice locations: Charleston, WV
O20191014001997 AK Part B Supplier - Clinic/Group Practice 4385543230 Receives reassigned benefits from 1 practitioner
Practice locations: Eagle River, AK
O20210521000387 MO Part B Supplier - Clinic/Group Practice 4385543230 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO
O20220921001308 HI Part B Supplier - Clinic/Group Practice 4385543230 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI
O20240822002144 WI Part B Supplier - Clinic/Group Practice 4385543230 Receives reassigned benefits from 1 practitioner
Practice locations: Fitchburg, WI
O20250324003276 NC Part B Supplier - Clinic/Group Practice 4385543230 Receives reassigned benefits from 5 practitioners
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

2510 Miccosukee Rd
Ste 100
Tallahassee, FL 32308
Phone (850) 942-1100

2450 Old Milton Pkwy
Ste 101
Alpharetta, GA 30009
Phone (470) 267-0290

2450 Old Milton Pkwy
Ste 125
Alpharetta, GA 30009

5655 Atlanta Hwy
Alpharetta, GA 30004
Phone (770) 691-0819

1625 Hospital South Dr
#150
Austell, GA 30106
Phone (470) 732-6950

3672 Marathon Cir
Ste 200
Austell, GA 30106
Phone (770) 944-3303

720 Transit Ave
Canton, GA 30114
Phone (770) 479-4847

925 Sanders Rd
Cumming, GA 30041
Phone (404) 567-6500

120 Greystone Power Blvd
Dallas, GA 30157
Phone (470) 267-1540

6001 Professional Pkwy
Douglasville, GA 30134
Phone (404) 274-7335

6001 Professional Pkwy
Ste 2020
Douglasville, GA 30134
Phone (470) 956-1570

148 Bill Carruth Pkwy
Ste LL20
Hiram, GA 30141
Phone (770) 443-7700

1550 Kennesaw Due West Rd NW
Kennesaw, GA 30152
Phone (770) 423-9525

1550 Kennesaw Due West Rd NW
Ste 150
Kennesaw, GA 30152
Phone (470) 986-7302

3600 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 977-4547

780 Church St NE
Ste 1110
Marietta, GA 30060
Phone (770) 590-4190

790 Church St NE
Ste 400
Marietta, GA 30060
Phone (770) 405-2976

818 Church St NE
Marietta, GA 30060
Phone (770) 590-4190

662 Highway 61
Villa Rica, GA 30180

120 Stonebridge Pkwy
Ste 300
Woodstock, GA 30189
Phone (678) 494-2445

12201 Highway 92
Woodstock, GA 30188
Phone (405) 600-4864

1505 Stone Bridge Pkwy
Woodstock, GA 30189
Phone (770) 926-6520

10911 Raven Ridge Rd
Ste 10393
Raleigh, NC 27614
Phone (770) 405-2976

4301 Lake Boone Trl
Ste 100
Raleigh, NC 27607

Practitioners & affiliated clinicians

Practitioners 176

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 176

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1366495988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3157",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063157",
            "telephone_number": "855-871-1526",
            "fax_number": "855-277-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CHURCH ST NE",
            "address_2": "STE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607282",
            "telephone_number": "678-581-3830",
            "fax_number": "678-581-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM RADIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "678-626-0761"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.