Individual provider Active NPI

Kevin Cormier, MD

  • Diagnostic Radiology Physician
  • Murphy, NC
National Provider Identifier
1699096750
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD.207233 Issued in LA
Practice address
3990 E US 64 Alt
Murphy, NC 28906-6843
Phone
(423) 778-7234
Fax
(423) 778-6261
NPI assigned
Jun 11, 2010
Last updated
Apr 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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 MD.207233 LA Primary

Addresses

Primary practice location

3990 E US 64 Alt
Murphy, NC 28906-6843

Mailing address

2401 Gillham Rd
Kansas City, MO 64108-4619
Phone (337) 517-3999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160421001786 GA Practitioner - Diagnostic Radiology 6709184658 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Macon PCGroup PAC ID 7113817701, 64 clinicians
Central Georgia MRI LLCGroup PAC ID 5597752261, 46 clinicians
Georgia Magnetic Imaging Center LTDGroup PAC ID 0042205775, 39 clinicians

Practice addresses (Care Compare)

1000 Cowles Clinic Way
Pine Building
Greensboro, GA 30642-5285
Phone (706) 454-2660

1960 Hwy 247 Connector
Byron, GA 31008-5663
Phone (478) 654-2000

350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 765-7000

400 Charter Blvd
Macon, GA 31210-4831
Phone (478) 757-8200

770 Pine St
L15
Macon, GA 31201-7519
Phone (478) 746-1020

770 Pine St
Suite 290
Macon, GA 31201-7516
Phone (478) 743-1458

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1235

800 1St St
Suite 310
Macon, GA 31201-8399
Phone (478) 633-7020

821 N Cobb St
Milledgeville, GA 31061-2343
Phone (478) 776-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.207233LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Magnetic Imaging Center LTD Diagnostic Radiology CurrentSince Jul 14, 2019 Accepting new patients
Central Georgia MRI LLC Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Radiology Associates of Macon PC Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients

Locations

770 Pine St
Ste 290
Macon, GA 31201
Phone (478) 743-1458

770 Pine St
Ste L15
Macon, GA 31201
Phone (478) 633-1819

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1699096750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 GILLHAM RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641084619",
            "telephone_number": "337-517-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 E US 64 ALT",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066843",
            "telephone_number": "423-778-7234",
            "fax_number": "423-778-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORMIER",
        "first_name": "KEVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-11",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD.207233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, NC

Sources for this page

Verify at the official NPI Registry.