NPIMap

Organization Active NPI

Ossp Imaging of Albany

  • Radiology Clinic/Center
  • Albany, GA
National Provider Identifier
1699352179
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
OSSP IMAGING OF ALBANY
Practice address
2025 Palmyra Rd
Albany, GA 31701-1576
Phone
(229) 232-8800
Fax
(678) 752-7397
NPI assigned
Mar 29, 2021
Organization subpart
Yes
Parent organization
ORTHO SPORT AND SPINE PHYSICIANS DAWSONVILLEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Ra'Keshia Brogdon
Title
Credentialing Specialist
Phone
(678) 783-7619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

2025 Palmyra Rd
Albany, GA 31701-1576

Mailing address

5788 Roswell Rd
Atlanta, GA 30328-4904
Phone (675) 752-7246

National Provider Directory

National Provider Directory
Tax ID family
Ortho Sport Spine Physicians25 organizations share this tax ID, including this one
Part of
Ortho Sport and Spine Physicians Pooler

Other organizations with this tax ID 24

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

View all 24

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1699352179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5788 ROSWELL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284904",
            "telephone_number": "675-752-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 PALMYRA RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011576",
            "telephone_number": "229-232-8800",
            "fax_number": "678-752-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSSP IMAGING OF ALBANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHO SPORT AND SPINE PHYSICIANS DAWSONVILLE",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "BROGDON",
        "authorized_official_first_name": "RA'KESHIA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "678-783-7619"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.