OPEN MRI & IMAGING OF DOUGLASVILLE, LLC
NPI 1154302990
Radiology - Diagnostic Radiology in Douglasville, GA

NPI Status: Active since November 09, 2005

Contact Information

6095 PROFESSIONAL PKWY
SUITE 101B
DOUGLASVILLE, GA
ZIP 30134
Phone: (770) 947-8100
Fax: (770) 947-3404

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  • Organization
  • Radiology
  • Diagnostic Radiology

About OPEN MRI & IMAGING OF DOUGLASVILLE, LLC

This page provides the complete NPI Profile along with additional information for Open Mri & Imaging Of Douglasville, Llc, a provider established in Douglasville, Georgia operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1154302990 assigned on November 2005. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Open Mri & Imaging Of Douglasville, Llc. The authorized official of this NPI record is Mr. Daniel J Schaefer (Coo)

NPI
1154302990
Provider Legal Name
NORTHWEST DIAGNOSTIC IMAGING, INC
Other Organization Name
OPEN MRI & IMAGING OF DOUGLASVILLE, LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6095 PROFESSIONAL PKWY SUITE 101B DOUGLASVILLE, GA 30134
Location Phone
(770) 947-8100
Location Fax
(770) 947-3404
Mailing Address
PO BOX 932391 ATLANTA, GA 31193
Mailing Phone
(678) 393-5600
Mailing Fax
(770) 947-3404
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-09-2005
Last Update Date
05-20-2008
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License State
GA
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DANIEL J SCHAEFER

Authorized Official Title
COO
Authorized Official Phone
(770) 300-0101

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
226870812OTHER (01)GAUS DEPARTMENT OF LABOR
DA0357OTHER (01)GARAILROAD MEDICARE
CH7800OTHER (01)GARAILROAD MEDICARE
=========AMEDICARE PIN (08)GA 
=========012OTHER (01)GATRICARE
=========036OTHER (01)GAUHC
=========011OTHER (01)GABLUE CROSS GEORGIA
CA0798OTHER (01)GARAILROAD MEDICARE

Reviews for OPEN MRI & IMAGING OF DOUGLASVILLE, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154302990
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21104604918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 6 + 0 + 4 + 9 + 1 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1154302990 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194715433MS. PAMELA LANDERS PA
Individual
Physician Assistant (Medical)6095 PROFESSIONAL PKWY SUITE 100
DOUGLASVILLE, GA 30134
(770) 920-2255
1255387361WELLSTAR NORTH DOUGLAS OB/GYN, LLC
Organization
Obstetrics & Gynecology6095 PROFESSIONAL PKWY SUITE A 210
DOUGLASVILLE, GA 30134
(770) 949-4188
1346296837WELLSTAR CREEKSIDE PEDIATRICS, LLC
Organization
Pediatrics6095 PROFESSIONAL PKWY SUITE 100
DOUGLASVILLE, GA 30134
(770) 920-2255
1841223757 MELINDA SCHILLINGER MCDONALD P.T.
Individual
Physical Therapist (Orthopedic)6095 PROFESSIONAL PKWY SUITE B-203
DOUGLASVILLE, GA 30134
(770) 949-2261
1649341306DR. BRIAN SHERALD DEAS D.D.S.
Individual
Dentist (General Practice)6095 PROFESSIONAL PKWY SUITE B-103
DOUGLASVILLE, GA 30134
(770) 577-5727
1972705598 KAY E THOMPSON RN
Individual
Registered Nurse (Pediatrics)6095 PROFESSIONAL PKWY SUITE 100
DOUGLASVILLE, GA 30134
(770) 920-2255
1790004042 DENISE L ADAMS RN, NP, IBCLC
Individual
Registered Nurse (Lactation Consultant)6095 PROFESSIONAL PKWY SUITE 100
DOUGLASVILLE, GA 30134
(770) 920-2255
1487886511OPEN MRI OF GEORGIA, INC
Organization
Radiology (Diagnostic Radiology)6095 PROFESSIONAL PKWY SUITE 101B
DOUGLASVILLE, GA 30134
(770) 947-8100
1912203050WELLSTAR MEDICAL GROUP, LLC
Organization
Pediatrics6095 PROFESSIONAL PKWY SUITE 100
DOUGLASVILLE, GA 30134
(770) 920-2255
1083910046WELLSTAR MEDICAL GROUP, LLC
Organization
Obstetrics & Gynecology6095 PROFESSIONAL PKWY SUITE A-210
DOUGLASVILLE, GA 30134
(770) 949-4188
1396965547 RAFIQ M. EL HAMMALI MD
Individual
Internal Medicine (Nephrology)6095 PROFESSIONAL PKWY SUITE B205
DOUGLASVILLE, GA 30134
(770) 577-4825
1356631758 YASSMIN AHMED YOUSEF M.D.
Individual
Pediatrics6095 PROFESSIONAL PKWY SUITE 100
DOUGLASVILLE, GA 30134
(770) 920-2255
1699164061 KATHLEEN GEARHART PNP
Individual
Nurse Practitioner (Pediatrics)6095 PROFESSIONAL PKWY SUITE 100
DOUGLASVILLE, GA 30134
(770) 920-2255
1104816438DR. SUZANNE LEE FOX MD
Individual
Pediatrics6095 PROFESSIONAL PKWY SUITE 100
DOUGLASVILLE, GA 30134
(770) 920-2255
1932297868 BEVERLY POTTINGER PICKENS D.O.
Individual
Obstetrics & Gynecology6095 PROFESSIONAL PKWY SUITE A210
DOUGLASVILLE, GA 30134
(770) 949-4188
1134119464DR. ETESHAMUL HUQUE MD
Individual
Pediatrics6095 PROFESSIONAL PKWY SUITE 100
DOUGLASVILLE, GA 30134
(770) 920-2255
1083604326DR. BRIDGET DAUPHIN MD
Individual
Pediatrics6095 PROFESSIONAL PKWY SUITE 100
DOUGLASVILLE, GA 30134
(770) 920-2255
1366672107MRS. SHANNON LEIGH COLVIN BENTLEY RNC CNM
Individual
Advanced Practice Midwife6095 PROFESSIONAL PKWY SUITE A210
DOUGLASVILLE, GA 30134
(770) 949-4188

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154302990, enumerated in the NPI registry as an "organization" on November 09, 2005

The provider is located at 6095 Professional Pkwy Suite 101b Douglasville, Ga 30134 and the phone number is (770) 947-8100

This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider might be accepting Accepts: Medicare, Medicaid, Railroad Medicare, Tricare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 09, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.