Active NPI
Clarissa Dawn George, RT (R) (CT)
- Computed Tomography Radiologic Technologist
- Buford, GA
National Provider Identifier
1922281104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Computed Tomography Radiologic Technologist
- License
- CRT 52013
- Practice address
- 5810 Waterfall Way
Buford, GA 30518-1376 - Phone
- (407) 448-6712
- NPI assigned
- Dec 11, 2007
- Last updated
- Dec 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Computed Tomography Radiologic Technologist | 2471C3401X | CRT 52013 | FL | Primary |
Addresses
Primary practice location
5810 Waterfall Way
Buford, GA 30518-1376
Mailing address
107 Grovewood Ave
Sanford, FL 32773-5952
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 |
|---|---|---|---|
| CRT 52013 | FL | MD | Computed Tomography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197331200000",
"number": "1922281104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 GROVEWOOD AVE",
"city": "SANFORD",
"state": "FL",
"postal_code": "327735952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5810 WATERFALL WAY",
"city": "BUFORD",
"state": "GA",
"postal_code": "305181376",
"telephone_number": "407-448-6712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "CLARISSA",
"middle_name": "DAWN",
"credential": "RT (R) (CT)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-11",
"last_updated": "2007-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3401X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Computed Tomography",
"state": "FL",
"license": "CRT 52013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buford, GA
- Philip Stephen Garza, M.D.
- Melissa Gasparetto Menezes, MT
- Amanda Gay, MS-OTR/L
- Hoyt Wayborn Gazaway Jr., M.D.
- Amaris Nicole Geisler, BS, MD
- Pristina Rose George, M.S., CCC-SLP
- Georgia CVS Pharmacy LLC (CVS Pharmacy #16561)
- Georgia CVS Pharmacy LLC (CVS Pharmacy # 05653)
- Georgia CVS Pharmacy, L.L.C. (CVS Pharmacy # 00279)
- Georgia Dental Professionals, PC (Ivy Creek Dental Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.