NPIMap

Organization Active NPI

Ossp Imaging of South Atlanta

  • Radiology Clinic/Center
  • Morrow, GA
National Provider Identifier
1477094167
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
OSSP IMAGING OF SOUTH ATLANTA
Practice address
6630 Exchange PL
Morrow, GA 30260-2310
Phone
(404) 935-9116
NPI assigned
Mar 14, 2017
Organization subpart
Yes
Parent organization
ORTHO SPORT & SPINE PHYSICIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Mrs. Dia McDonald
Title
Credentialing Coordinator
Phone
(305) 290-2448

Specialties & licenses 1

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

Addresses

Primary practice location

6630 Exchange PL
Morrow, GA 30260-2310

Mailing address

5788 Roswell Rd
Atlanta, GA 30328-4904
Phone (404) 935-9116

National Provider Directory

National Provider Directory
Tax ID family
Ortho Sport Spine Physicians25 organizations share this tax ID, including this one
Part of
Ortho Sport and Spine Physicians Pooler

Other organizations with this tax ID 24

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

View all 24

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BABFCA

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1477094167",
    "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",
            "telephone_number": "404-935-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 EXCHANGE PL",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602310",
            "telephone_number": "404-935-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSSP IMAGING OF SOUTH ATLANTA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHO SPORT & SPINE PHYSICIANS",
        "enumeration_date": "2017-03-14",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "DIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "305-290-2448",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrow, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.