Organization Active NPI

Serenity Imaging

  • Diagnostic Radiology Physician
  • Woodstock, GA
National Provider Identifier
1932904497
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SERENITY IMAGING
Practice address
100 Stoneforest Dr Ste 110
Woodstock, GA 30189-4881
Phone
(678) 787-5001
NPI assigned
Feb 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Pamela Kufahl
Title
Admin
Phone
(678) 787-5001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

100 Stoneforest Dr Ste 110
Woodstock, GA 30189-4881

Mailing address

100 Stoneforest Dr Ste 110
Woodstock, GA 30189-4881

National Provider Directory

National Provider Directory

Locations

100 Stoneforest Dr
Ste 110
Woodstock, GA 30189
Phone (678) 787-5001

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1932904497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STONEFOREST DR STE 110",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STONEFOREST DR STE 110",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894881",
            "telephone_number": "678-787-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "KUFAHL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "678-787-5001"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.