Active NPI
Women's Imaging Specialists - Gwinnett, LLC
- Mammography Clinic/Center
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mammography Clinic/Center
- Legal business name
- WOMEN'S IMAGING SPECIALISTS - GWINNETT, LLC
- Practice address
- 601A Professional Drive
Suite 160
Lawrenceville, GA 30045 - Phone
- (866) 300-8512
- Fax
- (800) 613-8386
- NPI assigned
- Jul 12, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer L Reddy
- Title
- Manager
- Phone
- (404) 692-3493
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mammography Clinic/Center | 261QR0206X | Primary |
Addresses
Primary practice location
601A Professional Drive
Suite 160
Lawrenceville, GA 30045
Mailing address
3180 N Point Pkwy Ste 106
Alpharetta, GA 30005-4349
Phone (866) 300-8512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200330000792 | GA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 1254760127 | Practice locations: Lawrenceville, GA |
National Provider Directory
National Provider DirectoryLocations
601 Professional Dr
Ste 160
Lawrenceville, GA 30046
Phone (678) 376-4242
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Speech-Language Pathologist
- Alpharetta, GA
- NPI 1407303332
-
- Diagnostic Radiology Physician
- Columbus, GA
- NPI 1306860127
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1689651606
-
- Diagnostic Radiology Physician
- Alpharetta, GA
- NPI 1568448421
-
- Diagnostic Radiology Physician
- Cartersville, GA
- NPI 1902990427
-
- Diagnostic Radiology Physician
- Commerce, GA
- NPI 1487620597
-
- Diagnostic Radiology Physician
- Baton Rouge, LA
- NPI 1407050461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684108800000",
"number": "1639721376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3180 N POINT PKWY STE 106",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054349",
"telephone_number": "866-300-8512",
"fax_number": "800-613-8386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601A PROFESSIONAL DRIVE",
"address_2": "SUITE 160",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "30045",
"telephone_number": "866-300-8512",
"fax_number": "800-613-8386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMEN'S IMAGING SPECIALISTS - GWINNETT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-12",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A",
"authorized_official_last_name": "REDDY",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "404-692-3493"
},
"taxonomies": [
{
"code": "261QR0206X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mammography",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
- Mollie Rose Wolf, PA-C
- Diane Marie Wolfe, MHS, OTR/L
- James Alan Wolfe, M.D.
- Wesley Shane Wolfer, PA-C, RRT
- Women's Healthcare Consultants of Gwinnett, PC
- Women's Imaging Specialists - Lawrenceville, LLC
- Women's Specialist of North Georgia (Daniel Esteves, MD)
- Wonder Lives Foundation, Inc. (Wonder Lives Rehab Center)
- Wonderfully Nutritious Solutions, LLC
- Rosalinda Wong
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.