Organization Active NPI

Lafayette Imaging LLC

  • Radiology Clinic/Center
  • Lagrange, GA
National Provider Identifier
1790474401
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20230913003431 GA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8628432309 Practice locations: Lagrange, GA

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.