Organization Active NPI

North Fulton Imaging Partners, LP

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Roswell, GA
National Provider Identifier
1760410344
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
982901
Legal business name
NORTH FULTON IMAGING PARTNERS, LP
Practice address
2500 Hospital Blvd
Roswell, GA 30076-4907
Phone
(770) 751-2900
Fax
(770) 751-2806
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Mr. Michael Kyle Burtnett
Title
SVP of Outpatient Services, Tenet
Phone
(469) 893-2153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X 982901 Primary

Addresses

Primary practice location

2500 Hospital Blvd
Roswell, GA 30076-4907

Mailing address

2500 Hospital Blvd
Roswell, GA 30076-4907
Phone (770) 751-2900

Other identifiers 1

IdentifierTypeStateIssuer
055001379AMedicaidGA

Other names 1

  • Roswell Imaging Center Doing business as

National Provider Directory

National Provider Directory

Locations

2500 Hospital Blvd
Ste 220
Roswell, GA 30076
Phone (770) 381-4430

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1760410344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL BLVD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764907",
            "telephone_number": "770-751-2900",
            "fax_number": "770-751-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL BLVD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764907",
            "telephone_number": "770-751-2900",
            "fax_number": "770-751-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FULTON IMAGING PARTNERS, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "BURTNETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "SVP OF OUTPATIENT SERVICES, TENET",
        "authorized_official_telephone_number": "469-893-2153",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": "982901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055001379A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roswell Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.