Active NPI
Gainesville Imaging Associates PC
- Diagnostic Radiology Physician
- Gainesville, GA
National Provider Identifier
1457553968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 033142
- Legal business name
- GAINESVILLE IMAGING ASSOCIATES PC
- Practice address
- 1250 Jesse Jewell Pkwy SE
Ste. 500
Gainesville, GA 30501-3871 - Phone
- (770) 532-9936
- Fax
- (770) 534-9877
- NPI assigned
- Jun 5, 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
- Jeff N McIntire
- Title
- President
- Phone
- (770) 532-9936
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 033142 | GA | |
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | 033142 | GA | |
| Hospice and Palliative Medicine (Radiology) Physician | 2085H0002X | 033142 | GA | |
| Neuroradiology Physician | 2085N0700X | 033142 | GA | |
| Nuclear Radiology Physician | 2085N0904X | 033142 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | 033142 | GA | Primary |
| Therapeutic Radiology Physician | 2085R0203X | 033142 | GA | |
| Diagnostic Ultrasound Physician | 2085U0001X | 033142 | GA |
Addresses
Primary practice location
1250 Jesse Jewell Pkwy SE
Ste. 500
Gainesville, GA 30501-3871
Mailing address
PO Box 2438
Gainesville, GA 30503-2438
Phone (770) 532-9936
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, WV, OR
Enrollment records 3
National Provider Directory
National Provider DirectoryLocations
3972 Barranca Pkwy
Ste J408
Irvine, CA 92606
1250 Jesse Jewell Pkwy SE
Ste 500
Gainesville, GA 30501
Phone (770) 531-2444
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular & Interventional Radiology Physician
- Huntington, WV
- NPI 1881655504
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Erie, PA
- NPI 1588661763
-
- Vascular & Interventional Radiology Physician
- Rochester, NY
- NPI 1457305195
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Edina, MN
- NPI 1881680791
-
- Diagnostic Radiology Physician
- Sarasota, FL
- NPI 1588688782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554163200000",
"number": "1457553968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2438",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305032438",
"telephone_number": "770-532-9936",
"fax_number": "770-534-9877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 JESSE JEWELL PKWY SE",
"address_2": "STE. 500",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013871",
"telephone_number": "770-532-9936",
"fax_number": "770-534-9877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAINESVILLE IMAGING ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-05",
"last_updated": "2019-04-02",
"status": "A",
"authorized_official_last_name": "MCINTIRE",
"authorized_official_first_name": "JEFF",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-532-9936"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": "GA",
"license": "033142",
"primary": false
},
{
"code": "2085D0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": "GA",
"license": "033142",
"primary": false
},
{
"code": "2085H0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Hospice and Palliative Medicine",
"state": "GA",
"license": "033142",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Neuroradiology",
"state": "GA",
"license": "033142",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Nuclear Radiology",
"state": "GA",
"license": "033142",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "033142",
"primary": true
},
{
"code": "2085R0203X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Therapeutic Radiology",
"state": "GA",
"license": "033142",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "GA",
"license": "033142",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.