Active NPI
Amira Karriem, MBA, BS, RT
- Radiography Radiologic Technologist
- Dallas, GA
National Provider Identifier
1700432267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiography Radiologic Technologist
- License
- 326204
- Practice address
- 256 Valley View Cir
Dallas, GA 30132-9806 - Phone
- (678) 903-5786
- Fax
- (888) 545-1070
- NPI assigned
- Aug 12, 2019
- Last updated
- Jun 22, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiography Radiologic Technologist | 2471C3402X | 326204 | GA | Primary |
Addresses
Primary practice location
256 Valley View Cir
Dallas, GA 30132-9806
Mailing address
256 Valley View Cir Lot 59
Dallas, GA 30132-9806
Phone (404) 861-4087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003234554A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science, Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 326204 | GA | MD | Radiography Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Pink Ribbon Mammography and Diagnostic Radiology Services LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Dallas, GA
- NPI 1023410842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1700432267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 VALLEY VIEW CIR LOT 59",
"city": "DALLAS",
"state": "GA",
"postal_code": "301329806",
"telephone_number": "404-861-4087",
"fax_number": "888-545-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 VALLEY VIEW CIR",
"city": "DALLAS",
"state": "GA",
"postal_code": "301329806",
"telephone_number": "678-903-5786",
"fax_number": "888-545-1070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARRIEM",
"first_name": "AMIRA",
"name_prefix": "Mrs.",
"credential": "MBA, BS, RT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-12",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "GA",
"license": "326204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003234554A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.