NPI age
20 years
Enumerated 2006-05-12
● Active Type 2 · Organization
Subpart
Marietta Diagnostic Center, Llc
Marietta Diagnostic Center, Llc is 1 of 1280 radiology organizations in Georgia.
Primary specialty
Radiology
Plus 4 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Evertseb
Ceo
Last NPPES update
2013-04-25
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
4
In the 38% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
780 Canton Road Ne, Suite 230
Marietta, GA 300608928
Mailing address
780 Canton Road Ne, Suite 230
Marietta, GA 300608928
Authorized official
Mike Evertseb
Ceo
📞 7707921234
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Joseph Hormes, M.D. Neuromusculoskeletal Medicine & OMM NPI 1497848444
- Peter Re, M.D. Neuromusculoskeletal Medicine & OMM NPI 1124111208
Specialties
-
Radiology PrimaryA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
-
Clinic/CenterDefinition to come...
-
RadiologyA Radiology doctor of Osteopathy that specializes in Body Imaging.
-
RadiologyA Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
-
RadiologyA radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 764269020A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Marietta Imaging Center Marietta Imaging at North Cobb
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Subpart of Marietta Diagnostic Center, Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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