Individual provider Active NPI

Laurel R Lemasters, M.D.

  • Diagnostic Radiology Physician
  • Atlanta, GA
National Provider Identifier
1609850353
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
047340 Issued in GA
Practice address
3193 Howell Mill Rd NW
Suite 110
Atlanta, GA 30327-2119
Phone
(404) 355-7591
Fax
(404) 355-9175
NPI assigned
Dec 5, 2005
Last updated
Oct 2, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 047340 GA Primary

Addresses

Primary practice location

3193 Howell Mill Rd NW
Suite 110
Atlanta, GA 30327-2119

Mailing address

3480 Preston Ridge Rd Ste 600
Credentialing Dept
Alpharetta, GA 30005-5462
Phone (770) 300-0101

Other identifiers 3

IdentifierTypeStateIssuer
P00127837OtherGARAILROAD MEDICARE
000841563AAMedicaidGA
202G708830OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040514000596 GA Practitioner - Diagnostic Radiology 8921098617 Reassigns benefits to 3 organizations
I20180205001085 SC Practitioner - Diagnostic Radiology 8921098617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Miami, LM Miller School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegiance Imaging and Radiology LLCGroup PAC ID 3577838689, 12 clinicians

Practice addresses (Care Compare)

2801 N Decatur Rd
Suite 100
Decatur, GA 30033-5924
Phone (404) 937-3046

69 N Calibogue Cay Rd
Hilton Head, SC 29928-2913
Phone (404) 937-3771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
047340GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pdi Toledo, LLC Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
JCC, LLC Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Pdi Toledo, LLC Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Pdi Toledo, LLC Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Allegiance Imaging and Radiology, LLC Diagnostic Radiology CurrentSince Nov 13, 2017 Accepting new patients
Phoebe Physician Group, Inc Past Accepting new patients
Atlanta Radiology Consultants, PC Diagnostic Radiology Past Accepting new patients
Open MRI of Georgia, LLC Diagnostic Radiology PastSince Jan 1, 2010 Accepting new patients

Locations

Dept AT 952550
Atlanta, GA 31192

Dept AT 952561
Atlanta, GA 31192

2801 N Decatur Rd
Ste 100
Decatur, GA 30033
Phone (404) 902-2858

900 Thornton Rd
Ste A
Lithia Springs, GA 30122
Phone (770) 648-7974

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1609850353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 PRESTON RIDGE RD STE 600",
            "address_2": "CREDENTIALING DEPT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055462",
            "telephone_number": "770-300-0101",
            "fax_number": "770-300-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3193 HOWELL MILL RD NW",
            "address_2": "SUITE 110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272119",
            "telephone_number": "404-355-7591",
            "fax_number": "404-355-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMASTERS",
        "first_name": "LAUREL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "047340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00127837",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000841563AA",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "202G708830",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.