NPIMap

Individual provider Active NPI

Liang Gu, M.D.

  • Diagnostic Radiology Physician
  • Dothan, AL
National Provider Identifier
1427232966
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
002829 Issued in GA
Practice address
1900 Fairview Ave
Radiology Associates of Dothan
Dothan, AL 36301-3008
Phone
(334) 793-9651
NPI assigned
Dec 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 002829 GA Primary

Addresses

Primary practice location

1900 Fairview Ave
Radiology Associates of Dothan
Dothan, AL 36301-3008

Mailing address

1900 Fairview Ave
Radiology Associates of Dothan
Dothan, AL 36301-3008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120608000016 GA Practitioner - Diagnostic Radiology 8729242482 Reassigns benefits to 2 organizations
I20130430000158 AL Practitioner - Diagnostic Radiology 8729242482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Georgia School of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Radiology Associates of Dothan PCGroup PAC ID 2163465147, 21 clinicians

Practice addresses (Care Compare)

1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 793-8111

1900 Fairview Ave
Dothan, AL 36301-3008
Phone (334) 793-9511

400 N Edwards St
Enterprise, AL 36330-2510
Phone (334) 347-0584

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as group
Quality
95
Improvement activities
40
Cost
72.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
002829GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Dothan PC Diagnostic Radiology CurrentSince Jun 1, 2013 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jul 1, 2012 Accepting new patients
Emory Medical Care Foundation Inc Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
The Emory Clinic Inc Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients

Locations

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

2015 Alexander Dr
Dothan, AL 36301
Phone (334) 671-1696

1900 Fairview Ave
Dothan, AL 36301
Phone (334) 793-9511

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889

Organizations & group practices 4

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1427232966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 FAIRVIEW AVE",
            "address_2": "RADIOLOGY ASSOCIATES OF DOTHAN",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 FAIRVIEW AVE",
            "address_2": "RADIOLOGY ASSOCIATES OF DOTHAN",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013008",
            "telephone_number": "334-793-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GU",
        "first_name": "LIANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-19",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "002829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.