Active NPI
Open MRI of Georgia, Inc
- Diagnostic Radiology Physician
- Stockbridge, GA
National Provider Identifier
1497081202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- OPEN MRI OF GEORGIA, INC
- Practice address
- 1035 Southcrest Dr
Suite 120
Stockbridge, GA 30281-6118 - Phone
- (404) 410-1099
- Fax
- (678) 565-9909
- NPI assigned
- Oct 29, 2009
- 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
- Mr. Daniel J Schaefer
- Title
- C.O.O.
- Phone
- (770) 300-0101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1035 Southcrest Dr
Suite 120
Stockbridge, GA 30281-6118
Mailing address
PO Box 932391
Atlanta, GA 31193-2391
Phone (678) 393-5600
Other names 1
- MRI & Imaging of Southcrest
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379894400000",
"number": "1497081202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932391",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311932391",
"telephone_number": "678-393-5600",
"fax_number": "770-300-9018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 SOUTHCREST DR",
"address_2": "SUITE 120",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302816118",
"telephone_number": "404-410-1099",
"fax_number": "678-565-9909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPEN MRI OF GEORGIA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-29",
"last_updated": "2013-09-23",
"status": "A",
"authorized_official_last_name": "SCHAEFER",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "C.O.O.",
"authorized_official_telephone_number": "770-300-0101",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MRI & Imaging of Southcrest",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.