Open MRI of Camden LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

OPEN MRI OF CAMDEN LLC

Doing business as

Open MRI of CaMden

Practice address

88 Lindsey LN Ste a
Saint Marys, GA 31558-1656

Phone

(912) 729-2600

Fax

(912) 729-4122

NPI assigned

Jun 20, 2006

Last updated

Dec 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tammy Lynette Miller

Title

Center Administrator

Phone

(912) 729-2600

Specialties & licenses 1

Addresses

Other names 1

• Open MRI of CaMden Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 5

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.

• Christa Lynn Catalano, MD

  • Diagnostic Radiology Physician
  • Evans, GA
  • NPI 1437212644
  NPD
• Megan E Deacon-Casey, MD

  • Vascular & Interventional Radiology Physician
  • Ponte Vedra Beach, FL
  • NPI 1235112517

  Diagnostic Radiology

  NPD
• Lucas Nathan Smith, M.D.

  • Diagnostic Radiology Physician
  • Montgomery, AL
  • NPI 1659637767
  NPD
• John D Hegarty, M.D.

  • Diagnostic Radiology Physician
  • Worcester, MA
  • NPI 1265471478
  NPD (past)
• Shahid M Nasir, MD

  • Diagnostic Radiology Physician
  • Ponte Vedra Beach, FL
  • NPI 1811904238
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1427093590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 LINDSEY LN STE A",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315581656",
            "telephone_number": "912-729-2600",
            "fax_number": "912-729-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 LINDSEY LN STE A",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315581656",
            "telephone_number": "912-729-2600",
            "fax_number": "912-729-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MRI OF CAMDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "CENTER ADMINISTRATOR",
        "authorized_official_telephone_number": "912-729-2600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open MRI of CaMden",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Open MRI of CaMden",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ludmila Nieves, M.D.
• Amy Annette Nixon, RN
• Nurture Behavioral Health and Education Services, LLC
• Sydnie Oaks, RBT
• Philip Matthew Oconnell, MD
• Optical Illusions, PC (Vision Source Partners)
• Sean Christopher Orr, M.D.
• P L Hooton DMD PC (Camden Dental Care)
• Lauren J Panzarella, D.C.
• Livio Federico Pardi, MD

• Diagnostic Radiology Physician in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.