Presgar Imaging of Augusta, LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

PRESGAR IMAGING OF AUGUSTA, LLC

Doing business as

Open MRI of Augusta

Practice address

3610 Wheeler Road
Augusta, GA 30909

Phone

(706) 210-9500

Fax

(706) 210-9600

NPI assigned

May 3, 2007

Last updated

Oct 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robbie Robertson

Title

President and Ceo

Phone

(813) 323-2594

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Open MRI of Augusta Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan S Luchs, MD

  • Diagnostic Radiology Physician
  • Lansing, MI
  • NPI 1508800293
  NPD

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1619199932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23110 STATE RD 54",
            "address_2": "PMB 292",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33549",
            "telephone_number": "352-578-2055",
            "fax_number": "813-977-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 WHEELER ROAD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30909",
            "telephone_number": "706-210-9500",
            "fax_number": "706-210-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESGAR IMAGING OF AUGUSTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "ROBBIE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "813-323-2594",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPA516",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open MRI of Augusta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Preddy
• Preferred Choice
• Preferred Hospice, LLC
• Charlie Prescott Jr., RN, BSN
• Tiffany C Prescott, SLP
• Christina Presmy
• Prestige Personal Care Services of Georgia, LLC
• Lacey Nichol Preston, PA-C
• Shade Raymond Preston IV, D.O.
• Kristen Nicole Prevost, PA-C

• Magnetic Resonance Imaging (MRI) Clinic/Center in Augusta, GA
• Providers in Augusta, GA by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.