Sivad Imaging LLC

Primary specialty

Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X

License

15623 Issued in GA

Legal business name

SIVAD IMAGING LLC

Practice address

4851 Orchard Hill Dr
Grovetown, GA 30813-6324

Phone

(706) 863-2872

Fax

(706) 863-2872

NPI assigned

Apr 23, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Roger L Davis, RCS

Title

Ceo, President

Phone

(706) 863-2872

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232323200000",
    "number": "1730354465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1250",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308091250",
            "telephone_number": "706-863-2872",
            "fax_number": "706-863-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 ORCHARD HILL DR",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308136324",
            "telephone_number": "706-863-2872",
            "fax_number": "706-863-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIVAD IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2009-01-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "706-863-2872",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RCS"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "GA",
            "license": "15623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Hanks Self, DPT
• Chasity Nicole Sello, PHARM.D.
• Kimberly Ruth Sims, MA
• Jessica Singleton
• Ashley Sires, NP-C
• Jaleigh Kitchens Smith, OTR/L
• Jessica Delisc Smith, LMSW
• Roxanne Smith, RPH
• Solutions First Therapy
• Speech Therapy Healthcare LLC

• Sonography Specialist/Technologist Cardiovascular in Grovetown, GA
• Providers in Grovetown, GA by specialty
• Sonography Specialist/Technologist Cardiovascular in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; 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.