Organization Active NPI

Bright Horizon Imaging Center

  • Radiology Clinic/Center
  • Duluth, GA
National Provider Identifier
1548319197
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
20018663501 Issued in GA
Legal business name
BRIGHT HORIZON IMAGING CENTER
Practice address
3497 Duluth Park LN
Duluth, GA 30096-3227
Phone
(866) 860-2576
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Calvin George Ferrier
Title
Managing Partner
Phone
(866) 860-2576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 20018663501 GA Primary

Addresses

Primary practice location

3497 Duluth Park LN
Duluth, GA 30096-3227

Mailing address

527 Edgewood
Windsor, CT 06095-1054
Phone (866) 860-2576

Other identifiers 1

IdentifierTypeStateIssuer
20018663501OtherGASTATE TAXPAYER IDENTIFIER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548319197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 EDGEWOOD",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951054",
            "telephone_number": "866-860-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3497 DULUTH PARK LN",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963227",
            "telephone_number": "866-860-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT HORIZON IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERRIER",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "866-860-2576"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "GA",
            "license": "20018663501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE TAXPAYER IDENTIFIER",
            "identifier": "20018663501",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • 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.