Organization Active NPI

Rome Radiology Group, PA

  • Diagnostic Radiology Physician
  • Rome, GA
National Provider Identifier
1952330615
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ROME RADIOLOGY GROUP, PA
Practice address
255 W 5TH St SW
Suite 150
Rome, GA 30165-2817
Phone
(706) 232-1545
NPI assigned
Jul 2, 2006
Last updated
Oct 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Ronald Chris Sluder
Title
Practice Administrator
Phone
(706) 291-2077

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X NU
Neuroradiology Physician 2085N0700X NU
Nuclear Radiology Physician 2085N0904X NU
Pediatric Radiology Physician 2085P0229X NU
Diagnostic Radiology Physician 2085R0202X NU Primary
Therapeutic Radiology Physician 2085R0203X NU
Vascular & Interventional Radiology Physician 2085R0204X NU

Addresses

Primary practice location

255 W 5TH St SW
Suite 150
Rome, GA 30165-2817

Mailing address

PO Box 369
Rome, GA 30162-0369
Phone (706) 232-1545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CO, AL, VA, TX, CA, FL, OR, NH, PA, OH, SC, MO, KY14 enrollments

Enrollment records 14

Enrollment IDStateProvider typePAC IDDetails
O20040407000833 GA Part B Supplier - Clinic/Group Practice 8921091695 Receives reassigned benefits from 31 practitioners
Practice locations: Trion, GA; Sandy Springs, GA; Rome, GA; Calhoun, GA; Milledgeville, GA; Chatsworth, GA; Cedartown, GA; Cartersville, GA…
O20170130000243 CO Part B Supplier - Clinic/Group Practice 8921091695 Receives reassigned benefits from 1 practitioner
Practice locations: Parker, CO; Lakewood, CO; Carbondale, CO; Avon, CO; Aurora, CO
O20180920002065 AL Part B Supplier - Clinic/Group Practice 8921091695 Receives reassigned benefits from 26 practitioners
Practice locations: Centre, AL; Fort Payne, AL
O20190115001216 VA Part B Supplier - Clinic/Group Practice 8921091695 Receives reassigned benefits from 1 practitioner
Practice locations: Glen Allen, VA
O20190131001989 TX Part B Supplier - Clinic/Group Practice 8921091695 Receives reassigned benefits from 4 practitioners
Practice locations: Austin, TX; Flower Mound, TX; The Colony, TX
O20190213001533 CA Part B Supplier - Clinic/Group Practice 8921091695 Receives reassigned benefits from 2 practitioners
Practice locations: Bakersfield, CA; Chula Vista, CA; San Diego, CA; West Hollywood, CA
O20190220001351 FL Part B Supplier - Clinic/Group Practice 8921091695 Receives reassigned benefits from 4 practitioners
Practice locations: St Augustine, FL; Tampa, FL; Saint Augustine, FL; Orlando, FL; Key Biscayne, FL; Delray Beach, FL
O20210511003195 OR Part B Supplier - Clinic/Group Practice 8921091695 Practice locations: Corvallis, OR
O20230208001502 NH Part B Supplier - Clinic/Group Practice 8921091695 Practice locations: Meredith, NH
O20250624000829 PA Part B Supplier - Clinic/Group Practice 8921091695 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA
O20260306002425 OH Part B Supplier - Clinic/Group Practice 8921091695 Receives reassigned benefits from 2 practitioners
Practice locations: Bexley, OH; Ottawa Hills, OH
O20260310002140 SC Part B Supplier - Clinic/Group Practice 8921091695 Receives reassigned benefits from 1 practitioner
Practice locations: Charleston, SC
O20260320002654 MO Part B Supplier - Clinic/Group Practice 8921091695 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Charles, MO
O20260414002828 KY Part B Supplier - Clinic/Group Practice 8921091695 Receives reassigned benefits from 1 practitioner
Practice locations: Simpsonville, KY

National Provider Directory

National Provider Directory

Locations

1899 Powers Ferry Rd SE
Ste 310
Atlanta, GA 30339
Phone (207) 513-8802

1104 Martha Berry Blvd NE
Rome, GA 30165
Phone (706) 291-2077

255 W 5th St SW
Ste 150
Rome, GA 30165
Phone (706) 232-1545

901 N Broad St NE
Ste 140
Rome, GA 30161
Phone (706) 291-2661

Practitioners & affiliated clinicians

Practitioners 53

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.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1952330615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301620369",
            "telephone_number": "706-232-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W 5TH ST SW",
            "address_2": "SUITE 150",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652817",
            "telephone_number": "706-232-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROME RADIOLOGY GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "SLUDER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "CHRIS",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "706-291-2077"
    },
    "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": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.