P Praxis·MD
● Active Type 2 · Organization

Canton Specialty Imaging, Llc

Specialist·Canton, GA· NPI 1457640831 · Enumerated 2011 · 15 years on NPI
Canton Specialty Imaging, Llc is 1 of 1881 specialist organizations in Georgia.
NPI age
15 years
Enumerated 2011-04-06
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Peters
Member/medical Director
Last NPPES update
2011-04-06
Source: monthly bulk 2026-05

How this organization compares

Across 1881 active specialist providers in Georgia.

NPI age
15 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2011 → 2026

2011-04Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
200 Oakside Ln, Suite A
Canton, GA 301146416
📞 7704791945fax 7704791948
Mailing address
200 Oakside Ln, Suite A
Canton, GA 301146416
📞 7704791945fax 7704791948

Authorized official

Bradley R Peters, M.D.
Member/medical Director
📞 7704791945

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    GA license #051890 taxonomy 174400000X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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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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