SOUTHEAST GEORGIA RADIOLOGY – NPI #1962614024
Radiology

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

SOUTHEAST GEORGIA RADIOLOGY is a radiologist located in SAINT MARYS, GA. NPPES has assigned the NPI number 1962614024 to SOUTHEAST GEORGIA RADIOLOGY on May 03, 2007. 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 18 years ago on Apr 20, 2008. 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 RADIOLOGY below.

NPI Profile for
SOUTHEAST GEORGIA RADIOLOGY

NPI Number
1962614024
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 RADIOLOGY
Primary location
2000 DAN PROCTOR DR
SAINT MARYS, GA 31520
Phone: (912) 466-6170 Fax:
Mailing address
3020 SHRINE RD
BRUNSWICK, GA 31520
Phone: (912) 267-0533 Fax: (912) 267-7313
Organization Subpart
No
Authorized Official
DONALD MANNING
PRESIDENT
Phone: (912) 466-6170
Updated
Identifiers

Identifiers for SOUTHEAST GEORGIA RADIOLOGY

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
OTHERBCBS GAGA04155
MEDICAIDGA343124
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)
GA 011416

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.