Individual provider Active NPI

Michael Spencer Zinsmeister, MD

  • Diagnostic Radiology Physician
  • Macon, GA
National Provider Identifier
1811987704
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
47385 Issued in GA
Practice address
770 Pine St Ste 290
Attn: Radiology Department
Macon, GA 31201-7516
Phone
(478) 743-1458
Fax
(478) 755-1332
NPI assigned
Oct 24, 2005
Last updated
Jul 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 47385 GA Primary

Addresses

Primary practice location

770 Pine St Ste 290
Attn: Radiology Department
Macon, GA 31201-7516

Mailing address

770 Pine St Ste 290
Attn: Radiology Department
Macon, GA 31201-7516
Phone (478) 743-1458

Other identifiers 1

IdentifierTypeStateIssuer
000827296AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031226000083 GA Practitioner - Diagnostic Radiology 0547168742 Reassigns benefits to 3 organizations
I20080716000291 FL Practitioner - Diagnostic Radiology 0547168742 Practice locations: Tallahassee, FL

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Florida College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Macon PCGroup PAC ID 7113817701, 64 clinicians
Georgia Magnetic Imaging Center LTDGroup PAC ID 0042205775, 39 clinicians
Central Georgia MRI LLCGroup PAC ID 5597752261, 46 clinicians

Practice addresses (Care Compare)

1000 Cowles Clinic Way
Pine Building
Greensboro, GA 30642-5285
Phone (706) 454-2660

1960 Hwy 247 Connector
Byron, GA 31008-5663
Phone (478) 654-2000

350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 765-7000

400 Charter Blvd
Macon, GA 31210-4831
Phone (478) 757-8200

770 Pine St
Macon, GA 31201-7519
Phone (478) 633-1819

770 Pine St
Suite 290
Macon, GA 31201-7516
Phone (478) 743-1458

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1235

800 1St St
Suite 310
Macon, GA 31201-8399
Phone (478) 633-7020

821 N Cobb St
Milledgeville, GA 31061-2343
Phone (478) 776-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47385GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Magnetic Imaging Center LTD Diagnostic Radiology CurrentSince Jul 1, 1999 Accepting new patients
Central Georgia MRI LLC Diagnostic Radiology CurrentSince Sep 1, 2002 Accepting new patients
Central Georgia Pet LLC Diagnostic Radiology CurrentSince Nov 1, 2003 Accepting new patients
Radiology Associates of Macon PC Diagnostic Radiology CurrentSince Jul 1, 1999 Accepting new patients
Radiology of Hunstville PC Diagnostic Radiology Past Accepting new patients
Northwest Diagnostic Imaging, Inc Diagnostic Radiology Past Accepting new patients

Locations

770 Pine St
Ste 290
Macon, GA 31201
Phone (478) 743-1458

770 Pine St
Ste L15
Macon, GA 31201
Phone (478) 633-1819

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1811987704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 PINE ST STE 290",
            "address_2": "ATTN: RADIOLOGY DEPARTMENT",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017516",
            "telephone_number": "478-743-1458",
            "fax_number": "478-755-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 PINE ST STE 290",
            "address_2": "ATTN: RADIOLOGY DEPARTMENT",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017516",
            "telephone_number": "478-743-1458",
            "fax_number": "478-755-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINSMEISTER",
        "first_name": "MICHAEL",
        "middle_name": "SPENCER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "47385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000827296A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.