P Praxis·MD
● Active Type 1 · Individual

Mia M Luke, R MR

Radiologic Technologist·Tifton, GA· NPI 1497182455 · Enumerated 2013 · 12 years on NPI
Luke is 1 of 2 radiologic technologist providers in Tifton and 1 of 27 in Georgia.
NPI age
12 years
Enumerated 2013-10-04
Primary specialty
Radiologic Technologist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-10-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 27 active radiologic technologist providers in Georgia.

NPI age
12 years
≈ at median (13 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-10Enumerated in NPPES
2013 2026

Where they practice

Practice location
1401 Tift Ave N, Ste E
Tifton, GA 317943585
📞 2293876799fax 2293876791
Mailing address
1401 Tift Ave N, Ste E
Tifton, GA 317943585
📞 2293876799fax 2293876791

Specialties

  • Radiologic Technologist Primary
    A radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam...
    GA license #409616 taxonomy 2471M1202X
  • Radiologic Technologist
    A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
    GA license #409616 taxonomy 247100000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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