Georgia Diagnostics, LLC

Primary specialty

Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X

Legal business name

GEORGIA DIAGNOSTICS, LLC

Practice address

2162 Bakers Mill Rd
Dacula, GA 30019-4622

Phone

(404) 625-1140

NPI assigned

Feb 28, 2020

Last updated

Feb 28, 2020By 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

Eric Byles, PTNPI 1982807400

Title

Physical Therapy

Phone

(403) 625-1140

Specialties & licenses 1

Addresses

Other names 1

• Eric Byles Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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.

• Eric Byles, P.T.

  • Specialist
  • Atlanta, GA
  • NPI 1982807400
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1861026767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300190002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 BAKERS MILL RD",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194622",
            "telephone_number": "404-625-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-28",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "BYLES",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PHYSICAL THERAPY",
        "authorized_official_telephone_number": "403-625-1140",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Ericbyles@georgia-diagnostics.com",
            "affiliation": "N",
            "address_1": "2162 Bakers Mill Rd",
            "city": "Dacula",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300194622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Eric Byles",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Gico Inc (Gico Health Services)
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• Ashley Gilbreth

• Physical Therapist in Dacula, GA
• Providers in Dacula, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.