NPIMap

Organization Active NPI

Wgis, Inc.

Doing business as West Georgia Imaging

  • Radiography Radiologic Technologist
  • Hiram, GA
National Provider Identifier
1902002546
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiography Radiologic TechnologistTaxonomy code 2471C3402X
License
346551 Issued in GA
Legal business name
WGIS, INC.
Doing business as
West Georgia Imaging
Practice address
5604 Wendy Bagwell Pkwy
Suite 911
Hiram, GA 30141-7809
Phone
(678) 384-1711
Fax
(678) 384-1721
NPI assigned
Jun 21, 2007
Last updated
Feb 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Mr. Chris Enslow
Title
Office Manager
Phone
(678) 384-1711

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471C3402X 346551 GA Primary
Nuclear Medicine Technology Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471N0900X 022347 GA

Addresses

Primary practice location

5604 Wendy Bagwell Pkwy
Suite 911
Hiram, GA 30141-7809

Mailing address

5604 Wendy Bagwell Pkwy
Suite 911
Hiram, GA 30141-7809
Phone (678) 384-1711

Other names 1

  • West Georgia Imaging Doing business as

National Provider Directory

National Provider Directory

Locations

5604 Wendy Bagwell Pkwy
Ste 911
Hiram, GA 30141
Phone (678) 384-1711

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": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1902002546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5604 WENDY BAGWELL PKWY",
            "address_2": "SUITE 911",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301417809",
            "telephone_number": "678-384-1711",
            "fax_number": "678-384-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5604 WENDY BAGWELL PKWY",
            "address_2": "SUITE 911",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301417809",
            "telephone_number": "678-384-1711",
            "fax_number": "678-384-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WGIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "ENSLOW",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "678-384-1711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": "GA",
            "license": "346551",
            "primary": true
        },
        {
            "code": "2471N0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "GA",
            "license": "022347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Georgia Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hiram, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.

Verify at the official NPI Registry.