NPIMap

Organization Active NPI

Oconee Radiology Associates

  • Diagnostic Radiology Physician
  • Milledgeville, GA
National Provider Identifier
1912074469
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
OCONEE RADIOLOGY ASSOCIATES
Practice address
811 N Cobb St
Milledgeville, GA 31061-2389
Phone
(478) 452-0524
Fax
(478) 452-0525
NPI assigned
Nov 29, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Lisa Parker
Title
Practice Manager
Phone
(478) 452-0524

Specialties & licenses 1

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

Addresses

Primary practice location

811 N Cobb St
Milledgeville, GA 31061-2389

Mailing address

111 Fieldstone Dr
Suite 112
Milledgeville, GA 31061-7106
Phone (478) 452-0524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040308001031 GA Part B Supplier - Clinic/Group Practice 1951299387 Receives reassigned benefits from 4 practitioners
Practice locations: Jekyll Island, GA; Sandersville, GA; Reynolds, GA; Plains, GA; Monticello, GA; Macon, GA; Milledgeville, GA; Hamilton, GA…

National Provider Directory

National Provider Directory

Locations

187 Roberson Mill Rd NE
Ste 201
Milledgeville, GA 31061
Phone (478) 452-0524

Practitioners & affiliated clinicians

Practitioners 6

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912074469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FIELDSTONE DR",
            "address_2": "SUITE 112",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617106",
            "telephone_number": "478-452-0524",
            "fax_number": "478-452-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 N COBB ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612389",
            "telephone_number": "478-452-0524",
            "fax_number": "478-452-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONEE RADIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "478-452-0524",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.