Active NPI
Lafayette Imaging LLC
- Radiology Clinic/Center
- Lagrange, GA
National Provider Identifier
1790474401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- LAFAYETTE IMAGING LLC
- Practice address
- 1015 Lafayette Parkway
Suite 120
Lagrange, GA 30241 - Phone
- (706) 298-6407
- NPI assigned
- May 8, 2023
- Last updated
- Feb 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chasity Garrett, RT(R)(CT)(MR)
- Title
- Director of Radiology
- Phone
- (706) 957-5234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | NU | Primary |
Addresses
Primary practice location
1015 Lafayette Parkway
Suite 120
Lagrange, GA 30241
Mailing address
1015 Lafayette Parkway
Suite 120
Lagrange, GA 30241
Phone (706) 298-6407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230913003431 | GA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 8628432309 | Practice locations: Lagrange, GA |
National Provider Directory
National Provider DirectoryLocations
1015 Lafayette Pkwy
Ste 120
Lagrange, GA 30241
Phone (706) 298-6407
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Interventional Pain Medicine Physician
- Columbus, GA
- NPI 1972720928
-
- Diagnostic Radiology Physician
- Cincinnati, OH
- NPI 1801848619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771977600000",
"number": "1790474401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 LAFAYETTE PARKWAY",
"address_2": "SUITE 120",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "30241",
"telephone_number": "706-298-6407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 LAFAYETTE PARKWAY",
"address_2": "SUITE 120",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "30241",
"telephone_number": "706-298-6407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAFAYETTE IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-08",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A",
"authorized_official_last_name": "GARRETT",
"authorized_official_first_name": "CHASITY",
"authorized_official_title_or_position": "DIRECTOR OF RADIOLOGY",
"authorized_official_telephone_number": "706-957-5234",
"authorized_official_credential": "RT(R)(CT)(MR)"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lagrange, GA
- William Louis Kuerzi, P.T.
- Laboratory Corporation of Americ Holdings
- Laboratory Corporation of America Holdings
- Rachael Nichole Lacey, PT
- Benjamin Thomas Ladd, APRN
- Lafayette Neurology, PC
- Lafayette Surgery Center LLC
- Lagrange Cardiovascular Center LLC
- Lagrange Care Center LLC
- Lagrange Clinic of Chiropractic Incorporated
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.