Active NPI
Dunwoody Imaging, LLC
- Magnetic Resonance Imaging Radiologic Technologist
- Atlanta, GA
National Provider Identifier
1477586568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging Radiologic Technologist
- License
- 031432
- Legal business name
- DUNWOODY IMAGING, LLC
- Practice address
- 1750 Old Spring House LN
Suite 205
Atlanta, GA 30338-6214 - Phone
- (770) 451-4040
- Fax
- (770) 451-3003
- NPI assigned
- Jul 9, 2006
- 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
- Anthony Kent Gordon, MD
- Title
- President & Ceo
- Phone
- (770) 451-4040
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging Radiologic Technologist | 2471M1202X | 031432 | GA | Primary |
Addresses
Primary practice location
1750 Old Spring House LN
Suite 205
Atlanta, GA 30338-6214
Mailing address
1750 Old Spring House LN
Suite 205
Atlanta, GA 30338-6214
Phone (770) 451-4040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000449765AB | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Novato, CA
- NPI 1912968041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339977600000",
"number": "1477586568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 OLD SPRING HOUSE LN",
"address_2": "SUITE 205",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303386214",
"telephone_number": "770-451-4040",
"fax_number": "770-451-3003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 OLD SPRING HOUSE LN",
"address_2": "SUITE 205",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303386214",
"telephone_number": "770-451-4040",
"fax_number": "770-451-3003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUNWOODY IMAGING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2012-06-18",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "KENT",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "770-451-4040",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2471M1202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Magnetic Resonance Imaging",
"state": "GA",
"license": "031432",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000449765AB",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- Leslie Kyrin Dunston, MD, FACOG
- Dunwoody Behavioral Health Center LLC
- Dunwoody Dermatology,LLC
- Dunwoody Health Center by Harborview, LLC
- Dunwoody Imaging LLC
- Dunwoody Medical Group
- Dunwoody Mental Health Center
- Dunwoody Northeast Dentistry, LLC
- Dunwoody Operating Company LLC
- Dunwoody Park Family Dentistry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.