Active NPI
George L. Vega, MD
- Diagnostic Radiology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME51364
- Practice address
- 4933 University Blvd W
Jacksonville, FL 32216-5935 - Phone
- (904) 733-7800
- Fax
- (904) 419-4888
- NPI assigned
- Oct 26, 2006
- Last updated
- Feb 19, 2013
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME51364 | FL | Primary |
Addresses
Primary practice location
4933 University Blvd W
Jacksonville, FL 32216-5935
Mailing address
400 E Bay St Ste 606
Jacksonville, FL 32202-2948
Phone (904) 556-3991
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160513002024 | GA | Practitioner - Diagnostic Radiology | 6305821174 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summerlin Imaging Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Center of West Palm Beach LLC | Current | Accepting new patients | |
| Summerlin Imaging Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Elite Radiology of Georgia, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Center of West Palm Beach LLC | Current | Accepting new patients | |
| Coastline Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Presgar Imaging of Daytona, LLLP | Current | Accepting new patients | |
| Advance Technological Radiology, PA | Diagnostic Radiology | Past | Accepting new patients |
Locations
201 Bill France Blvd
Daytona Beach, FL 32114
Phone (386) 254-6800
4800 Ashford Dunwoody Rd
Atlanta, GA 30338
Phone (404) 419-2058
4800 Ashford Dunwoody Rd
Ste 140
Atlanta, GA 30338
Phone (404) 419-2058
1458 Church St
Ste D
Decatur, GA 30030
Phone (404) 419-2058
2623 N Decatur Rd
Decatur, GA 30033
3547 Peachtree Industrial Blvd
Duluth, GA 30096
Phone (312) 929-8662
939 Bob Arnold Blvd
Ste C
Lithia Springs, GA 30122
Phone (404) 946-2885
790 Church St NE
Ste 150
Marietta, GA 30060
Phone (770) 422-4268
1040 Eagles Landing Pkwy
Ste 102
Stockbridge, GA 30281
Phone (404) 419-2058
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 8
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.
-
dba Encore Imaging
- Diagnostic Radiology Physician
- Melbourne, FL
- NPI 1770576167
-
dba Imaging Center of Delray Beach
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Delray Beach, FL
- NPI 1225402464
-
dba Imaging Center of Boynton Beach
- Radiology Clinic/Center
- Boynton Beach, FL
- NPI 1396974705
-
dba Open MRI of Daytona
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Daytona Beach, FL
- NPI 1881904902
-
dba Gainesville Diagnostic Imaging
- Diagnostic Radiology Physician
- Gainesville, FL
- NPI 1124654405
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1316596471
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1346608239
-
- Diagnostic Radiology Physician
- Davenport, FL
- NPI 1154450351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361232000000",
"number": "1760567762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E BAY ST STE 606",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322022948",
"telephone_number": "904-556-3991",
"fax_number": "904-356-8027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4933 UNIVERSITY BLVD W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322165935",
"telephone_number": "904-733-7800",
"fax_number": "904-419-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "GEORGE",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2013-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME51364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.