Active NPI
Austin Radiological Association
- Radiology Clinic/Center
- Alpharetta, GA
National Provider Identifier
1912573742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- AUSTIN RADIOLOGICAL ASSOCIATION
- Practice address
- 3300 Old Milton Pkwy Ste 150
Alpharetta, GA 30005-2427 - Phone
- (512) 795-5100
- NPI assigned
- Jun 2, 2021
- Last updated
- Jul 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharlee Lebleu
- Title
- Vice President
- Phone
- (480) 321-7026
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | NU | Primary |
Addresses
Primary practice location
3300 Old Milton Pkwy Ste 150
Alpharetta, GA 30005-2427
Mailing address
12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210609002757 | GA | Part B Supplier - Clinic/Group Practice | 4880686179 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: McDonough, GA; Suwanee, GA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720569600000",
"number": "1912573742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12554 RIATA VISTA CIR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787276431",
"telephone_number": "512-795-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 OLD MILTON PKWY STE 150",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300052427",
"telephone_number": "512-795-5100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUSTIN RADIOLOGICAL ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-02",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A",
"authorized_official_last_name": "LEBLEU",
"authorized_official_first_name": "SHARLEE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "480-321-7026"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.