Active NPI
Women'S Imaging Specialists - Monroe, LLC
- Mammography Clinic/Center
- Monroe, GA
National Provider Identifier
1972128460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mammography Clinic/Center
- Legal business name
- WOMEN'S IMAGING SPECIALISTS - MONROE, LLC
- Practice address
- 500 Great Oaks Dr Ste 13
Monroe, GA 30655-8228 - Phone
- (866) 300-8512
- NPI assigned
- Jun 10, 2020
- 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
- Jennifer L Reddy
- Title
- Owner
- Phone
- (404) 692-3493
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mammography Clinic/Center | 261QR0206X | Primary |
Addresses
Primary practice location
500 Great Oaks Dr Ste 13
Monroe, GA 30655-8228
Mailing address
3180 N Point Pkwy Ste 106
Alpharetta, GA 30005-4349
Phone (866) 300-8512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201001000363 | GA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 0941629547 | Practice locations: Monroe, GA |
National Provider Directory
National Provider DirectoryLocations
500 Great Oaks Dr
Ste 13
Monroe, GA 30655
Phone (706) 785-0500
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Columbus, GA
- NPI 1306860127
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1689651606
-
- Diagnostic Radiology Physician
- Alpharetta, GA
- NPI 1568448421
-
- Diagnostic Radiology Physician
- Commerce, GA
- NPI 1487620597
-
- Diagnostic Radiology Physician
- Baton Rouge, LA
- NPI 1407050461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684108800000",
"number": "1972128460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3180 N POINT PKWY STE 106",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054349",
"telephone_number": "866-300-8512",
"fax_number": "800-613-8386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 GREAT OAKS DR STE 13",
"city": "MONROE",
"state": "GA",
"postal_code": "306558228",
"telephone_number": "866-300-8512"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMEN'S IMAGING SPECIALISTS - MONROE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-10",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A",
"authorized_official_last_name": "REDDY",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-692-3493"
},
"taxonomies": [
{
"code": "261QR0206X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mammography",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.