Active NPI
Quantum Radiology, PC
- Diagnostic Radiology Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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
- 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
- Teresa Frank
- Title
- Credentialing Manager
- Phone
- (678) 626-0761
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
Enrollment records 12
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
2450 Old Milton Pkwy
Alpharetta, GA 30009
Phone (470) 267-0360
2450 Old Milton Pkwy
Ste 125
Alpharetta, GA 30009
2851 Washington Rd
Augusta, GA 30909
Phone (706) 922-6578
1625 Hospital South Dr
#150
Austell, GA 30106
Phone (470) 732-6950
1680 Hospital South Dr
Austell, GA 30106
Phone (678) 945-2100
720 Transit Ave
Canton, GA 30114
Phone (770) 479-4847
120 Greystone Power Blvd
Dallas, GA 30157
Phone (470) 267-1540
6002 Professional Pkwy
Ste 260
Douglasville, GA 30134
Phone (470) 644-5411
6001 Professional Pkwy
Ste 2020
Douglasville, GA 30134
Phone (470) 956-1570
6002 Professional Pkwy
Ste 120
Douglasville, GA 30134
Phone (678) 838-2950
307 W Robinson Ave
Grovetown, GA 30813
148 Bill Carruth Pkwy
Ste LL20
Hiram, GA 30141
Phone (770) 443-7700
1550 Kennesaw Due West Rd NW
Ste 150
Kennesaw, GA 30152
Phone (470) 986-7302
60 Lacy St NW
Marietta, GA 30060
Phone (770) 793-7800
790 Church St NE
Ste 400
Marietta, GA 30060
Phone (770) 405-2976
598 Nancy St NW
Ste 150
Marietta, GA 30060
Phone (770) 422-7630
562 Concord Rd SE
Smyrna, GA 30082
Phone (770) 384-9830
662 Highway 61
Villa Rica, GA 30180
1505 Stone Bridge Pkwy
Ste 200
Woodstock, GA 30189
Phone (770) 926-6520
10911 Raven Ridge Rd
Ste 10393
Raleigh, NC 27614
Phone (770) 405-2976
Practitioners & affiliated clinicians
Practitioners 172
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Diagnostic Radiology Physician
- Marietta, GA
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- Diagnostic Radiology Physician
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- Diagnostic Radiology Physician
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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": "193400000X SINGLE SPECIALTY 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.