NPIMap

Organization Active NPI

Middle Georgia Radiology, PC

  • Diagnostic Radiology Physician
  • Dublin, GA
National Provider Identifier
1427008598
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
H106498 Issued in GA
Legal business name
MIDDLE GEORGIA RADIOLOGY, PC
Practice address
2406 Bellevue Rd
Erin Office Park, BLDG 12
Dublin, GA 31021-2842
Phone
(478) 275-0580
Fax
(478) 272-0538
NPI assigned
May 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jennifer F Parker
Title
Manager
Phone
(478) 275-0580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X H106498 GA Primary

Addresses

Primary practice location

2406 Bellevue Rd
Erin Office Park, BLDG 12
Dublin, GA 31021-2842

Mailing address

PO Box 1013
Dublin, GA 31040-1013
Phone (478) 275-0580

Other identifiers 1

IdentifierTypeStateIssuer
H106498OtherGACORPORATE LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

2406 Bellevue Rd
Ste 12
Dublin, GA 31021

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427008598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1013",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310401013",
            "telephone_number": "478-275-0580",
            "fax_number": "478-272-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 BELLEVUE RD",
            "address_2": "ERIN OFFICE PARK, BLDG 12",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212842",
            "telephone_number": "478-275-0580",
            "fax_number": "478-272-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GEORGIA RADIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "478-275-0580"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "H106498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE LICENSE NUMBER",
            "identifier": "H106498",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.