NPI age
9 years
Enumerated 2016-05-24
● Active Type 2 · Organization
Northside Imaging Llc
Northside Imaging 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
Hernandez
Vp Admin. Services/cco
Last NPPES update
2016-05-24
Source: monthly bulk 2026-05
How this organization compares
Across 1280 active radiology providers in Georgia.
NPI age
9 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-05Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
2706 Watson Blvd, Suite D
Warner Robins, GA 310932997
Mailing address
1000 Johnson Fy Rd Ne
Atlanta, GA 303421606
Authorized official
Jorge J. Hernandez
Vp Admin. Services/cco
📞 4048516378
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Gerald Bohanan, M.D. Clinic/Center NPI 1871747022
Specialties
-
Radiology PrimaryA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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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.