NPI age
19 years
Enumerated 2006-09-17
● Active Type 2 · Organization
Southeast Georgia Open Mri Llc
Southeast Georgia Open Mri Llc is 1 of 1280 radiology organizations in Georgia.
Primary specialty
Radiology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Harris
Account Director
Last NPPES update
2012-01-27
Source: monthly bulk 2026-05
How this organization compares
Across 1280 active radiology providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1103 Fountain Lake Drive
Brunswick, GA 31525
Mailing address
1103 Fountain Lake Drive
Brunswick, GA 31525
Authorized official
Caroline Harris
Account Director
📞 9122676736
Specialties
-
Radiology PrimaryA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00469169G | |
| 01 | 1942294848 | BILLING PROVIDER NUMBER |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.