P Praxis·MD
● Active Type 2 · Organization

Central Georgia Mri Llc

Radiology·MacOn, GA· NPI 1114908522 · Enumerated 2005 · 20 years on NPI
Central Georgia Mri Llc is 1 of 1280 radiology organizations in Georgia.
NPI age
20 years
Enumerated 2005-11-11
Primary specialty
Radiology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Grossnickle
President
Last NPPES update
2012-11-06
Source: monthly bulk 2026-05

How this organization compares

Across 1280 active radiology providers in Georgia.

NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2005 → 2026

2005-11Enumerated in NPPES
2005 2026

Where they practice

Primary practice location
770 Pine St Ste L15, Attn: Radiology Department
MacOn, GA 312017519
📞 4787461020fax 4787460591
Mailing address
770 Pine St Ste L15, Attn: Radiology Department
MacOn, GA 312017519
📞 4787461020fax 4787460591

Authorized official

Mark E. Grossnickle, M.D.
President
📞 4787461020

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    taxonomy 2085R0202X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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