Radiology Center of Macon LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

0070115 Issued in GA

Legal business name

RADIOLOGY CENTER OF MACON LLC

Practice address

833 Walnut St
Macon, GA 31201

Phone

(478) 745-2727

Fax

(478) 745-2201

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Sarah D Gibbert, ADMINISTRATOR

Title

Administrator

Phone

(478) 745-2727

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508801101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 WALNUT ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31201",
            "telephone_number": "478-745-2727",
            "fax_number": "478-745-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 WALNUT ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31201",
            "telephone_number": "478-745-2727",
            "fax_number": "478-745-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY CENTER OF MACON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIBBERT",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-745-2727",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "GA",
            "license": "0070115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R. Jason Kent Physical Therapy
• Mijin Ra, MD
• Ashley Danielle Radford, RT (R) (CT) (MR)
• Radiance Anesthesia
• Radiology Associates of Macon PC
• Alyse Mary Elaine Ragauskas
• Daniela Morgan Ragins, RN,BSN, MBA
• Jillian Cindy Ragoonath
• Mohammad Mohabubur Rahman, MD
• Taylor Rain

• All providers in Macon, GA
• Radiology Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.