Cherokee Rose Mammography LLC

Primary specialty

Mobile Mammography Clinic/CenterTaxonomy code 261QR0207X

Legal business name

CHEROKEE ROSE MAMMOGRAPHY LLC

Practice address

121 Forte Ave NW
Milledgeville, GA 31061-8062

Phone

(800) 737-5610

NPI assigned

Sep 21, 2020

Last updated

Sep 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary H Dent, MDNPI 1841255759

Title

Owner

Phone

(800) 737-5610

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary H Dent, MD

  • Diagnostic Radiology Physician
  • Savannah, GA
  • NPI 1841255759
  NPD Authorized official

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1700492238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 FORTE AVE NW",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310618062",
            "telephone_number": "800-737-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 FORTE AVE NW",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310618062",
            "telephone_number": "800-737-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEROKEE ROSE MAMMOGRAPHY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "DENT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-737-5610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0207X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Michell Champion, D.D.S.
• Chance Talley Enterprises LLC.
• Chaplinwood Nursing Home LLC (Chaplinwood Health and Rehabilitation)
• Charles Brinson Shiver, III (Charles B Shiver, III, MD)
• Jessica Chatman
• Evan Marie Cherone, ATC
• Chigorziri D. Umuna
• Child and Family Guidance of Georgia, Inc
• Landon Childers
• Mary Angela Childre

• Clinic/Center in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.