Active NPI
Kimberly Cason
- Mammography Radiologic Technologist
- Glennville, GA
National Provider Identifier
1902203722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mammography Radiologic Technologist
- License
- 414929
- Practice address
- 3945 Hwy 301
Glennville, GA 30427 - Phone
- (912) 435-6234
- Fax
- (912) 435-5636
- NPI assigned
- Nov 21, 2014
- Last updated
- Nov 21, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mammography Radiologic Technologist | 2471M2300X | 414929 | GA | Primary |
Addresses
Primary practice location
3945 Hwy 301
Glennville, GA 30427
Mailing address
3945 Hwy 301
Glennville, GA 30427
Phone (912) 435-6234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 414929 | GA | MD | Mammography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1902203722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3945 HWY 301",
"city": "GLENNVILLE",
"state": "GA",
"postal_code": "30427",
"telephone_number": "912-435-6234",
"fax_number": "912-435-5636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3945 HWY 301",
"city": "GLENNVILLE",
"state": "GA",
"postal_code": "30427",
"telephone_number": "912-435-6234",
"fax_number": "912-435-5636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASON",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-21",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "2471M2300X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Mammography",
"state": "GA",
"license": "414929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glennville, GA
- Morgan Lynn Bland, LPC, NCC
- Corri Nicole Brewer, LPC
- Jana Lamb Bunch, BSN, RN, MSN, FNP-BC
- Sharmeki Burton
- C.R. of Glenvue, LLC (Glenvue Health and Rehab)
- Central Pharmacy, Inc. (Central Pharmacy)
- Claxton Family Dentistry LLC (Glennville Family Dentistry)
- Marisa Collins
- Jason Lamar Cunningham
- D W Scarborough M D P C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.