Active NPI
Woodlawn Medical Group, Inc.
- Sonography Radiologic Technologist
- Marietta, GA
National Provider Identifier
1790949691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- Legal business name
- WOODLAWN MEDICAL GROUP, INC.
- Practice address
- 3535 Roswell Rd Ste 20
Marietta, GA 30062-6252 - Phone
- (770) 303-4499
- Fax
- (770) 303-9901
- NPI assigned
- Jul 10, 2008
- Last updated
- Jul 10, 2008
- 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
- Kimberly Bradigan
- Title
- VP Finance
- Phone
- (770) 303-4499
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Specialist/Technologist | 246X00000X | |||
| Sonography Specialist/Technologist Cardiovascular | 246XS1301X | |||
| Sonography Radiologic Technologist | 2471S1302X | Primary | ||
| Vascular Sonography Radiologic Technologist | 2471V0105X |
Addresses
Primary practice location
3535 Roswell Rd Ste 20
Marietta, GA 30062-6252
Mailing address
3535 Roswell Rd Ste 20
Marietta, GA 30062-6252
Phone (770) 303-4499
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215648000000",
"number": "1790949691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 ROSWELL RD STE 20",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300626252",
"telephone_number": "770-303-4499",
"fax_number": "770-303-9901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 ROSWELL RD STE 20",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300626252",
"telephone_number": "770-303-4499",
"fax_number": "770-303-9901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODLAWN MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-10",
"last_updated": "2008-07-10",
"status": "A",
"authorized_official_last_name": "BRADIGAN",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "VP FINANCE",
"authorized_official_telephone_number": "770-303-4499"
},
"taxonomies": [
{
"code": "246X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist Cardiovascular",
"state": null,
"license": null,
"primary": false
},
{
"code": "246XS1301X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist Cardiovascular, Sonography",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471S1302X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Sonography",
"state": null,
"license": null,
"primary": true
},
{
"code": "2471V0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.