Organization Active NPI

Gainesville Imaging Associates PC

  • Diagnostic Radiology Physician
  • Gainesville, GA
National Provider Identifier
1457553968
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
033142 Issued in GA
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

Updated by the provider on Apr 2, 2019

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)CodeLicenseStatePrimary
Body Imaging PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085B0100X 033142 GA
Diagnostic Neuroimaging (Radiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085D0003X 033142 GA
Hospice and Palliative Medicine (Radiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085H0002X 033142 GA
Neuroradiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0700X 033142 GA
Nuclear Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0904X 033142 GA
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X 033142 GA Primary
Therapeutic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0203X 033142 GA
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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, OR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20190612002522 SC Part B Supplier - Clinic/Group Practice 6507887924 Receives reassigned benefits from 1 practitioner
Practice locations: Spartanburg, SC
O20191015001568 WV Part B Supplier - Clinic/Group Practice 6507887924 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington, WV
O20200127001465 OR Part B Supplier - Clinic/Group Practice 6507887924 Receives reassigned benefits from 1 practitioner
Practice locations: Medford, OR

National Provider Directory

National Provider Directory

Locations

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.

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": []
}

Other providers in Gainesville, GA

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.

Verify at the official NPI Registry.