Flexogenix Georgia PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

FLEXOGENIX GEORGIA PC

Practice address

4600 Roswell Rd Unit E210
Sandy Springs, GA 30342-3197

Phone

(213) 455-7803

NPI assigned

Feb 21, 2017

Organization subpart

No

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

Authorized official

Name

Martha Fuentes

Title

Credentialing Coordinator

Phone

(213) 455-7803

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1518406743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S HOPE ST STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900154057",
            "telephone_number": "213-455-7803",
            "fax_number": "213-261-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 ROSWELL RD UNIT E210",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303423197",
            "telephone_number": "213-455-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEXOGENIX GEORGIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "213-455-7803"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA MEDICARE PTAN",
            "identifier": "202G707094",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "7628690001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Chase Finch, LPC, NCC
• First Choice Surgical Assisting Inc
• Shanay Fischer, DPM
• Brandi Anna-Liza D. Fisher, BCBA
• Madison Fletcher
• Flowers Medical Group, LLC
• Carmen Frances Fong, MD
• For Eyes Optical of PA
• Caryn Forbes
• Yakeia Ford

• Diagnostic Radiology Physician in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.