NPIMap

Organization Active NPI

MGG Imaging

  • Magnetic Resonance Imaging Radiologic Technologist
  • Fayetteville, NC
National Provider Identifier
1770633166
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
License
285866 Issued in AZ
Legal business name
MGG IMAGING
Practice address
6455 Kelmscot CT
Fayetteville, NC 28303-5674
Phone
(520) 661-7567
Fax
(910) 500-0879
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Michael G Gilbert Sr.NPI 1710752324
Title
Ceo
Phone
(520) 661-7567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471M1202X 285866 AZ Primary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X
Radiology Clinic/Center 261QR0200X
Mobile Radiology Clinic/Center 261QR0208X

Addresses

Primary practice location

6455 Kelmscot CT
Fayetteville, NC 28303-5674

Mailing address

6455 Kelmscot CT
Fayetteville, NC 28303-5674
Phone (520) 661-7567

Other identifiers 2

IdentifierTypeStateIssuer
CRT0000101919OtherAZAZ RAD CRT
285866OtherAZRADIOLOGY LICENSE

Other names 1

  • Medical Global Group Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1770633166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 KELMSCOT CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035674",
            "telephone_number": "520-661-7567",
            "fax_number": "910-500-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 KELMSCOT CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035674",
            "telephone_number": "520-661-7567",
            "fax_number": "910-500-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGG IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-661-7567",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "AZ",
            "license": "285866",
            "primary": true
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ RAD CRT",
            "identifier": "CRT0000101919",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RADIOLOGY LICENSE",
            "identifier": "285866",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Global Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.