Individual provider Active NPI

Jedidiah Garth Almond, MD

  • Diagnostic Radiology Physician
  • Newnan, GA
National Provider Identifier
1740456458
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
072212 Issued in GA
Practice address
745 Poplar Road
Newnan, GA 32605-1618
Phone
(770) 400-1000
NPI assigned
May 2, 2008
Last updated
Mar 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Ultrasound Physician 2085U0001X P7239 TX
Body Imaging Physician 2085B0100X P7239 TX
Diagnostic Radiology Physician 2085R0202X P7239 TX
Diagnostic Radiology Physician 2085R0202X 072212 GA Primary

Addresses

Primary practice location

745 Poplar Road
Newnan, GA 32605-1618

Mailing address

745 Poplar Road
Newnan, GA 30265-1618
Phone (770) 400-1000

Other identifiers 2

IdentifierTypeStateIssuer
P01360792OtherGARAILROAD MEDICARE
003147384AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140829001564 GA Practitioner - Diagnostic Radiology 4981831112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology and Medical Imagery of Newnan PCGroup PAC ID 5395738348, 38 clinicians

Practice addresses (Care Compare)

745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 400-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.27 of 100Reported as group
Quality
100
Improvement activities
40
Cost
67.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P7239TXMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology & Medical Imagery of Newnan, PC Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
Piedmont Newnan Hospital, Inc. Past Accepting new patients
Fayette Community Hospital, Inc. Past Accepting new patients

Locations

101 Yorktown Dr
Ste 105
Fayetteville, GA 30214
Phone (770) 716-1111

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

1755 Highway 34 E
Ste 1200
Newnan, GA 30265
Phone (770) 304-4249

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

775 Poplar Rd
Ste 110
Newnan, GA 30265
Phone (770) 400-4300

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1740456458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 POPLAR ROAD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651618",
            "telephone_number": "770-400-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 POPLAR ROAD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "326051618",
            "telephone_number": "770-400-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMOND",
        "first_name": "JEDIDIAH",
        "middle_name": "GARTH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-02",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "TX",
            "license": "P7239",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "TX",
            "license": "P7239",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "P7239",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "072212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01360792",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003147384A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.