Commerce Radiology, LLC

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

License

020769 Issued in GA

Legal business name

COMMERCE RADIOLOGY, LLC

Practice address

70 Medical Center Dr
Commerce, GA 30529-1078

Phone

(706) 335-1420

Fax

(864) 223-1396

NPI assigned

Oct 23, 2012

Last updated

Oct 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thad Deward Long, MDNPI 1427050368

Title

Owner

Phone

(678) 469-0007

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Thad D Long, MD

  • Diagnostic Radiology Physician
  • Statesboro, GA
  • NPI 1427050368
  NPD (past) Authorized official

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1821341272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 VENTURE CT",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296498558",
            "telephone_number": "864-223-3070",
            "fax_number": "864-223-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MEDICAL CENTER DR",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291078",
            "telephone_number": "706-335-1420",
            "fax_number": "864-223-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMERCE RADIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "THAD",
        "authorized_official_middle_name": "DEWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-469-0007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "GA",
            "license": "020769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Commerce City Schools
• Commerce Family Eyecare
• Commerce Hearing Aid Outlet
• Commerce Orthodontics LLC
• Commerce Physicians Group LLC
• Commerce Spinal Center,P.C.
• Commerce Vision Center
• Commerce Vision Group, LLC
• Gene R Cotton, RPH
• Tom Tien Dang, DPM

• Diagnostic Ultrasound Physician in Commerce, GA
• Providers in Commerce, GA by specialty
• Diagnostic Ultrasound Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.