Individual provider Active NPI

John A Huey, NMTCB

  • Nuclear Medicine Technology Radiologic Technologist
  • Hiram, GA
National Provider Identifier
1730385642
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine Technology Radiologic TechnologistTaxonomy code 2471N0900X
License
026037 Issued in GA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
026037OtherGANMTCB

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

LicenseStateTypeSpecialty
026037GAMDNuclear Medicine Technology Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.