Active NPI
Riverdale Radiology Center
- Magnetic Resonance Imaging Radiologic Technologist
- Macon, GA
National Provider Identifier
1447302344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging Radiologic Technologist
- Legal business name
- RIVERDALE RADIOLOGY CENTER
- Practice address
- 833 Walnut St
Macon, GA 31201-2617 - Phone
- (478) 745-2727
- Fax
- (478) 745-2201
- NPI assigned
- Jan 18, 2007
- 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
- Chandresh Patel
- Title
- Ceo
- Phone
- (478) 745-2727
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Computed Tomography Radiologic Technologist | 2471C3401X | |||
| Radiography Radiologic Technologist | 2471C3402X | |||
| Magnetic Resonance Imaging Radiologic Technologist | 2471M1202X | Primary | ||
| Sonography Radiologic Technologist | 2471S1302X |
Addresses
Primary practice location
833 Walnut St
Macon, GA 31201-2617
Mailing address
237 Medical Way
Suite B
Riverdale, GA 30274-2522
Phone (770) 909-0488
Other names 1
- RCOM
National Provider Directory
National Provider DirectoryLocations
237 Medical Way
Ste B
Riverdale, GA 30274
Phone (770) 909-0488
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Macon, GA
- NPI 1659931277
-
- Diagnostic Radiology Physician
- Cartersville, GA
- NPI 1902990427
-
- Diagnostic Radiology Physician
- Warner Robins, GA
- NPI 1912969130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188950400000",
"number": "1447302344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 MEDICAL WAY",
"address_2": "SUITE B",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302742522",
"telephone_number": "770-909-0488",
"fax_number": "770-909-8245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 WALNUT ST",
"city": "MACON",
"state": "GA",
"postal_code": "312012617",
"telephone_number": "478-745-2727",
"fax_number": "478-745-2201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERDALE RADIOLOGY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2007-09-05",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "CHANDRESH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "478-745-2727"
},
"taxonomies": [
{
"code": "2471C3401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Computed Tomography",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471C3402X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Radiography",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471M1202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Magnetic Resonance Imaging",
"state": null,
"license": null,
"primary": true
},
{
"code": "2471S1302X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Sonography",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RCOM",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.