Active NPI
Lauren Moomjian, MD
- Diagnostic Radiology Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME112887
- Practice address
- 790 Church St NE Ste 400
Marietta, GA 30060-8957 - Phone
- (770) 405-2976
- NPI assigned
- Jun 25, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MT190584 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | 0101251828 | VA | |
| Diagnostic Radiology Physician | 2085R0202X | 80618 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | ME112887 | FL | Primary |
Addresses
Primary practice location
790 Church St NE Ste 400
Marietta, GA 30060-8957
Mailing address
PO Box 3157
Indianapolis, IN 46206-3157
Phone (770) 405-2976
Other practice location 1
1250 E Marshall Street
Richmond, VA 23298-0510
Phone (804) 628-3580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2510 Miccosukee Rd
Suite 100
Tallahassee, FL 32308-5467
Phone (678) 239-0420
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT190584 | PA | MD | Internal Medicine Physician |
| 80618 | GA | MD | Diagnostic Radiology Physician |
| 0101251828 | VA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quantum Radiology, PC | Diagnostic Radiology | Current | Accepting new patients |
| American Health Imaging of Georgia, LLC | Current | Accepting new patients | |
| American Health Imaging of Georgia LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Past | Accepting new patients | |
| MCV Associated Physicians | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 59)
2510 Miccosukee Rd
Ste 100
Tallahassee, FL 32308
Phone (850) 942-1100
4550 Cobb Parkway North NW
Ste 109
Acworth, GA 30101
Phone (470) 956-0079
2450 Old Milton Pkwy
Alpharetta, GA 30009
Phone (470) 267-0360
5655 Atlanta Hwy
Alpharetta, GA 30004
Phone (770) 691-0819
12460 Crabapple Rd
Alpharetta, GA 30004
Phone (678) 762-0574
3730 Carmia Dr SW
Ste 110
Atlanta, GA 30331
Phone (404) 344-7286
3890 Redwine Rd SW
Ste 104
Atlanta, GA 30331
Phone (404) 629-4700
1625 Hospital North Dr
Austell, GA 30106
Phone (770) 732-6950
1680 Hospital South Dr
Austell, GA 30106
Phone (678) 945-2100
1025 E West Connector
Ste 520
Austell, GA 30106
Phone (678) 273-3071
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
925 Sanders Rd
Cumming, GA 30041
Phone (404) 567-6500
120 Greystone Power Blvd
Dallas, GA 30157
Phone (470) 267-1540
6001 Professional Pkwy
Douglasville, GA 30134
Phone (404) 274-7335
8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584
6002 Professional Pkwy
Ste 260
Douglasville, GA 30134
Phone (770) 428-4486
4244 Washington Rd
Evans, GA 30809
Phone (706) 619-1869
307 W Robinson Ave
Grovetown, GA 30813
148 Bill Carruth Pkwy
Ste LL20
Hiram, GA 30141
Phone (770) 443-7700
2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (470) 644-7000
144 Bill Carruth Pkwy
Hiram, GA 30141
1120 Wellstar Way
Holly Springs, GA 30114
1550 Kennesaw Due West Rd NW
Kennesaw, GA 30152
Phone (770) 423-9525
3980 Jiles Rd NW
Kennesaw, GA 30144
Phone (678) 504-0100
1180 Ernest W Barrett Pkwy NW
#100
Kennesaw, GA 30144
Phone (770) 644-1274
Organizations & group practices 5
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.
-
dba American Health Imaging of Lawrenceville LLC
- Radiology Clinic/Center
- Lawrenceville, GA
- NPI 1467437327
-
dba American Health Imaging of Cumming, LLC
- Radiology Clinic/Center
- Cumming, GA
- NPI 1346606506
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
dba MCV Physicians
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1659577716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3157",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462063157",
"telephone_number": "770-405-2976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 CHURCH ST NE STE 400",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300608957",
"telephone_number": "770-405-2976"
}
],
"practiceLocations": [
{
"address_1": "1250 E MARSHALL STREET",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232980510",
"country_code": "US",
"telephone_number": "804-628-3580",
"fax_number": "804-628-3593",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOOMJIAN",
"first_name": "LAUREN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT190584",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101251828",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "80618",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME112887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.