NPIMap

Organization Active NPI

Georgia Imaging Associates PC

  • Diagnostic Radiology Physician
  • Smyrna, GA
National Provider Identifier
1912026527
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
GEORGIA IMAGING ASSOCIATES PC
Practice address
3949 S Cobb Dr SE
Smyrna, GA 30080-6342
Phone
(770) 779-2167
NPI assigned
Mar 28, 2007
Last updated
Dec 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Authorized official

Name
Dr. James Whitaker, MDNPI 1740488527
Title
President
Phone
(912) 429-0229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

3949 S Cobb Dr SE
Smyrna, GA 30080-6342

Mailing address

1640 Airport Rd NW
Suite 114
Kennesaw, GA 30144-7038
Phone (770) 779-2167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070601000294 GA Part B Supplier - Clinic/Group Practice 3577661388 Receives reassigned benefits from 4 practitioners
Practice locations: Newnan, GA; Tyrone, GA; Locust Grove, GA; Jackson, GA; Griffin, GA; Fayetteville, GA
O20210219002355 AL Part B Supplier - Clinic/Group Practice 3577661388 Receives reassigned benefits from 1 practitioner
Practice locations: Hoover, AL

National Provider Directory

National Provider Directory

Locations

1640 Airport Rd NW
Ste 114
Kennesaw, GA 30144

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1912026527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 AIRPORT RD NW",
            "address_2": "SUITE 114",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447038",
            "telephone_number": "770-779-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 S COBB DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806342",
            "telephone_number": "770-779-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA IMAGING ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-429-0229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.