Active NPI
Annamarie Reddin Collier, MD
- Diagnostic Radiology Physician
- Gastonia, NC
National Provider Identifier
1598748634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35616
- Practice address
- 620 Summit Crossing PL
Suite 106
Gastonia, NC 28054-2176 - Phone
- (704) 867-8021
- Fax
- (704) 864-4606
- NPI assigned
- Nov 22, 2005
- Last updated
- Aug 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 35616 | NC | Primary |
Addresses
Primary practice location
620 Summit Crossing PL
Suite 106
Gastonia, NC 28054-2176
Mailing address
620 Summit Crossing PL
Suite 106
Gastonia, NC 28054-2176
Phone (704) 867-8021
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6676 | Other | PARTNERS | |
| 73399 | Other | MEDCOST | |
| 8923769 | Medicaid | NC | |
| N35616 | Medicaid | SC | |
| 2353036 | Other | AETNA HMO | |
| 23769 | Other | BLUE CROSS BLUE SHIELD | |
| 4620619 | Other | AETNA PPO | |
| 300068234 | Other | RAILROAD MEDICARE | |
| 1642993 | Other | UNITED HEALTHCARE |
Other names 1
- Annamarie Reddin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35616 | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaston Radiology | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Gastonia, NC
- NPI 1932435609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282521600000",
"number": "1598748634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 SUMMIT CROSSING PL",
"address_2": "SUITE 106",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542176",
"telephone_number": "704-867-8021",
"fax_number": "704-864-4606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 SUMMIT CROSSING PL",
"address_2": "SUITE 106",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542176",
"telephone_number": "704-867-8021",
"fax_number": "704-864-4606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIER",
"first_name": "ANNAMARIE",
"middle_name": "REDDIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-22",
"last_updated": "2010-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "35616",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "6676",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "73399",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8923769",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N35616",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2353036",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "23769",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4620619",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300068234",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1642993",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNAMARIE",
"last_name": "REDDIN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.