(Not Specified) – NPI #1306790118
Radiology

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

Health Care Provider Taxonomy Code for Radiology

Note: The name associated with this NPI number is not available. This provider is a radiologist located in MACON, GA. NPPES has assigned the NPI number 1306790118 to this provider on February 26, 2026. 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

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 (Not Specified) below.

NPI Profile for
(Not Specified)

NPI Number
1306790118
Enumeration Date

(about 3 months 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
(Not Specified)
Primary location
555 1ST ST
MACON, GA 31201-2825
Phone: (478) 744-9603 Fax: (478) 744-9603
Mailing address
Same as primary location
Organization Subpart
Yes - (Not Specified) is subpart of another organization.
Authorized Official
IYABO MURAINA
BUSINESS MANAGER
Phone: (478) 744-9603
Updated
Certification Date
Feb 26, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.