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
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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

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.

View all 172

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.

Verify at the official NPI Registry.