NPIMap

Organization Active NPI

Ossp Imaging of Augusta

  • Radiology Clinic/Center
  • Augusta, GA
National Provider Identifier
1447714662
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
OSSP IMAGING OF AUGUSTA
Practice address
1306 Troupe St
Augusta, GA 30904-4799
Phone
(706) 842-4113
NPI assigned
Jan 23, 2019
Last updated
Mar 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Ra'Keshia Brogdon
Title
Credentialing 'Specialist
Phone
(678) 783-7619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

1306 Troupe St
Augusta, GA 30904-4799

Mailing address

5788 Roswell Rd
Atlanta, GA 30328-4904

National Provider Directory

National Provider Directory
Tax ID family
Ortho Sport Spine Physicians25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1447714662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5788 ROSWELL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 TROUPE ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044799",
            "telephone_number": "706-842-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSSP IMAGING OF AUGUSTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "BROGDON",
        "authorized_official_first_name": "RA'KESHIA",
        "authorized_official_title_or_position": "CREDENTIALING 'SPECIALIST",
        "authorized_official_telephone_number": "678-783-7619"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.