Organization Active NPI

Greater Image Healthcare Corp

  • Community/Behavioral Health Agency
  • Augusta, GA
National Provider Identifier
1679018964
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GREATER IMAGE HEALTHCARE CORP
Practice address
519 Pleasant Home Rd
Augusta, GA 30907-0544
Phone
(910) 476-7977
NPI assigned
Dec 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Authorized official

Name
Rodney JohnsonNPI 1285132134
Title
Ceo
Phone
(910) 729-3225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

519 Pleasant Home Rd
Augusta, GA 30907-0544

Mailing address

3625 Ten Ten Rd
Fayetteville, NC 28312-7238

National Provider Directory

National Provider Directory
Tax ID family
Greater Image Healthcare Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

519 Pleasant Home Rd
Augusta, GA 30907
Phone (706) 664-5000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1679018964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 TEN TEN RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283127238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 PLEASANT HOME RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309070544",
            "telephone_number": "910-476-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER IMAGE HEALTHCARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-729-3225"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.