Gainesville Radiology Group, PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

GAINESVILLE RADIOLOGY GROUP, PC

Practice address

200 W Academy Street
Gainesville, GA 30501

Phone

(770) 282-8820

Fax

(770) 534-9877

NPI assigned

Jul 3, 2006

Last updated

Jul 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beth Austin

Title

Authorized Official

Phone

(207) 482-7800

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, DC, IL, VA, NC, NV, WA, AZ, OR, CA, MI, NY, FL, OH, TN, SC, WV, AL, NH, MD, NJ, MO, IN, HI, TX, CO, KY, ID, IA29 enrollments

Enrollment records 29

Locations

Practitioners 130

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.

• Robert Jay Balotin, M.D.

  • Diagnostic Radiology Physician
  • Gainesville, GA
  • NPI 1205924537
  Medicare reassignment Care Compare group NPD
• Steven Edward Black, M.D.

  • Diagnostic Radiology Physician
  • Gainesville, GA
  • NPI 1609808369
  Medicare reassignment Care Compare group NPD
• Charlotte Bobbitt, FNP-C

  • Family Nurse Practitioner
  • Gainesville, GA
  • NPI 1619368289
  Medicare reassignment Care Compare group NPD
• David M Carroll, M.D.

  • Diagnostic Radiology Physician
  • Macon, GA
  • NPI 1770532038
  Medicare reassignment Care Compare group NPD
• Colby T Chastain, M.D.

  • Diagnostic Radiology Physician
  • Gainesville, GA
  • NPI 1922056217
  Medicare reassignment Care Compare group NPD
• Richard C Cory, MD

  • Diagnostic Radiology Physician
  • Gainesville, GA
  • NPI 1134101116
  Medicare reassignment Care Compare group NPD
• Morgan Bradley Fish, DO

  • Diagnostic Radiology Physician
  • Gainesville, GA
  • NPI 1407344708
  Medicare reassignment Care Compare group NPD
• Stewart Dixon Gilbert Jr., MD

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1487636445
  Medicare reassignment Care Compare group NPD
• Rajdeep Kapoor

  • Diagnostic Radiology Physician
  • Gainesville, GA
  • NPI 1396108502
  Medicare reassignment Care Compare group NPD
• Lee A Martin Jr., M.D.

  • Diagnostic Radiology Physician
  • Gainesville, GA
  • NPI 1093763385
  Medicare reassignment Care Compare group NPD
• Jin Park, M.D.

  • Vascular & Interventional Radiology Physician
  • Atlanta, GA
  • NPI 1649399338

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Julie Pardue Presley, M.D.

  • Diagnostic Radiology Physician
  • Gainesville, GA
  • NPI 1396793006
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1922037605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2417",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305032417",
            "telephone_number": "770-532-9936",
            "fax_number": "770-534-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ACADEMY STREET",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-282-8820",
            "fax_number": "770-534-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE RADIOLOGY GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-07-24",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "207-482-7800"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.