Organization Active NPI

Dunwoody Imaging, LLC

  • Magnetic Resonance Imaging Radiologic Technologist
  • Atlanta, GA
National Provider Identifier
1477586568
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
License
031432 Issued in GA
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

Updated by the provider on Jun 18, 2012

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

Authorized official

Name
Anthony Kent Gordon, MDNPI 1912968041
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)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000449765ABMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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

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.

Verify at the official NPI Registry.