Active NPI
John A Huey, NMTCB
- Nuclear Medicine Technology Radiologic Technologist
- Hiram, GA
National Provider Identifier
1730385642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Technology Radiologic Technologist
- License
- 026037
- Practice address
- 5604 Wendy Bagwell Pkwy
Suite 911
Hiram, GA 30141-7809 - Phone
- (678) 384-1711
- Fax
- (678) 384-1721
- NPI assigned
- Jun 26, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nuclear Medicine Technology Radiologic Technologist | 2471N0900X | 026037 | GA | Primary |
Addresses
Primary practice location
5604 Wendy Bagwell Pkwy
Suite 911
Hiram, GA 30141-7809
Mailing address
314 Berkley Dr
Villa Rica, GA 30180-2415
Phone (678) 384-1711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026037 | Other | GA | NMTCB |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026037 | GA | MD | Nuclear Medicine Technology Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wgis, Inc. | Nuclear Medicine Technology | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730385642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 BERKLEY DR",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "301802415",
"telephone_number": "678-384-1711",
"fax_number": "678-384-1721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5604 WENDY BAGWELL PKWY",
"address_2": "SUITE 911",
"city": "HIRAM",
"state": "GA",
"postal_code": "301417809",
"telephone_number": "678-384-1711",
"fax_number": "678-384-1721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUEY",
"first_name": "JOHN",
"middle_name": "A",
"credential": "NMTCB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2471N0900X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Nuclear Medicine Technology",
"state": "GA",
"license": "026037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NMTCB",
"identifier": "026037",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hiram, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.