Active NPI
Central Georgia Pet LLC
- Radiation Oncology Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- CENTRAL GEORGIA PET LLC
- Practice address
- 1650 Hardeman Ave
Attn: Radiology Department
Macon, GA 31201-1418 - Phone
- (478) 633-4738
- Fax
- (478) 749-9736
- NPI assigned
- Oct 27, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Zinsmeister, M.D.
- Title
- Medical Director
- Phone
- (478) 633-4738
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary | ||
| Diagnostic Radiology Physician | 2085R0202X |
Addresses
Primary practice location
1650 Hardeman Ave
Attn: Radiology Department
Macon, GA 31201-1418
Mailing address
1650 Hardeman Ave
Attn: Radiology Department
Macon, GA 31201-1418
Phone (478) 633-4738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031231000101 | GA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 6901705706 | Practice locations: Macon, GA |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
Member Of
Locations
800 1st St
#170
Macon, GA 31201
Phone (478) 633-4738
800 1st St
Ste 310
Macon, GA 31201
Phone (478) 633-2000
800 1st St
Ste 170
Macon, GA 31201
800 1st St
Ste 110
Macon, GA 31201
Phone (478) 743-3466
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Macon, GA
- NPI 1811987704
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Macon, GA
- NPI 1275523086
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Macon, GA
- NPI 1831310861
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Macon, GA
- NPI 1528058401
Diagnostic Radiology
-
- Vascular & Interventional Radiology Physician
- Marietta, GA
- NPI 1962542696
Diagnostic Radiology
-
- Student in an Organized Health Care Education/Training Program
- Bradenton, FL
- NPI 1912326083
-
- Diagnostic Radiology Physician
- Charleston, SC
- NPI 1760610380
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352160000000",
"number": "1437149762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 HARDEMAN AVE",
"address_2": "ATTN: RADIOLOGY DEPARTMENT",
"city": "MACON",
"state": "GA",
"postal_code": "312011418",
"telephone_number": "478-633-4738",
"fax_number": "478-749-9736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 HARDEMAN AVE",
"address_2": "ATTN: RADIOLOGY DEPARTMENT",
"city": "MACON",
"state": "GA",
"postal_code": "312011418",
"telephone_number": "478-633-4738",
"fax_number": "478-749-9736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL GEORGIA PET LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-27",
"last_updated": "2012-11-06",
"status": "A",
"authorized_official_last_name": "ZINSMEISTER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "478-633-4738",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
- Central Georgia Kidney Specialists, PC
- Central Georgia MRI LLC
- Central Georgia Oral and Maxillofacial Surgery, LLC
- Central Georgia Pediatrics, Inc.
- Central Georgia Pediatrics, Inc.
- Central Georgia Pulmonary Associates, LLC
- Central Georgia Radiation Oncology Center
- Central Georgia Rehabilitation
- Central Georgia Senior Health, Inc.
- Central Georgia Vascular Solutions
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.