Keisha A Murray

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

License

242919 Issued in GA

Practice address

5337 Old National Hwy
College Park, GA 30349-3208

Phone

(404) 934-7385

NPI assigned

Apr 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ultra Image Medical Diagnostics and Associates LLC

  • Technician/Technologist
  • College Park, GA
  • NPI 1831867381
  NPD Authorized official

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1407476013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87367",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303370367",
            "telephone_number": "404-934-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5337 OLD NATIONAL HWY",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493208",
            "telephone_number": "404-934-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "KEISHA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "GA",
            "license": "242919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June Mitchell, RN
• Vivian Elaine Morman, RN
• Tiffani Morrow, LMT
• Vuyo Mpumlwana, PHD
• Aisha Fatihma Muhammad, RBT
• John Myers
• Linda L Myree, M.T.
• Nak Union, Inc
• National Medical Enterprise
• Chedrick Neal

• Sonography Radiologic Technologist in College Park, GA
• Providers in College Park, GA by specialty
• Sonography Radiologic Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.