SOUTHEAST GEORGIA OPEN MRI LLC – NPI #1255438974
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

SOUTHEAST GEORGIA OPEN MRI LLC is a radiologist located in BRUNSWICK, GA. NPPES has assigned the NPI number 1255438974 to SOUTHEAST GEORGIA OPEN MRI LLC on September 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 14 years ago on Jan 27, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHEAST GEORGIA OPEN MRI LLC below.

NPI Profile for
SOUTHEAST GEORGIA OPEN MRI LLC

NPI Number
1255438974
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHEAST GEORGIA OPEN MRI LLC
Primary location
1103 FOUNTAIN LAKE DRIVE
BRUNSWICK, GA 31525
Phone: (912) 267-6736 Fax: (912) 262-1922
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CAROLINE HARRIS
ACCOUNT DIRECTOR
Phone: (912) 267-6736
Updated
Identifiers

Identifiers for SOUTHEAST GEORGIA OPEN MRI LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBILLING PROVIDER NUMBER1942294848
MEDICAIDGA00469169G
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.