{"npi":"1114900545","type":"NPI-2","status":"active","name":{"display":"Georgia Magnetic Imaging Center Ltd","other":[],"organization_name":"GEORGIA MAGNETIC IMAGING CENTER LTD","authorised_official":"Mark Grossnickle"},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"770 PINE ST STE L15","city":"MACON","state":"GA","postal_code":"312017519","country_code":"US","street_2":"ATTN: RADIOLOGY DEPARTMENT","phone":"4787461020","fax":"4787460591"},{"purpose":"MAILING","street_1":"770 PINE ST STE L15","city":"MACON","state":"GA","postal_code":"312017519","country_code":"US","street_2":"ATTN: RADIOLOGY DEPARTMENT","phone":"4787461020","fax":"4787460591"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040420000779","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"GA","pac_id":"0042205775"},{"enrlmt_id":"O20200108001048","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"AZ","pac_id":"0042205775"},{"enrlmt_id":"O20200108001645","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"0042205775"},{"enrlmt_id":"O20200109002313","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CT","pac_id":"0042205775"},{"enrlmt_id":"O20200110000718","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NH","pac_id":"0042205775"},{"enrlmt_id":"O20200110001092","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MA","pac_id":"0042205775"},{"enrlmt_id":"O20200113001940","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TX","pac_id":"0042205775"},{"enrlmt_id":"O20200113002295","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CO","pac_id":"0042205775"},{"enrlmt_id":"O20200114003009","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NV","pac_id":"0042205775"},{"enrlmt_id":"O20200116001217","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"VA","pac_id":"0042205775"},{"enrlmt_id":"O20200120000173","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MO","pac_id":"0042205775"},{"enrlmt_id":"O20200121001770","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"0042205775"},{"enrlmt_id":"O20200204000525","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MD","pac_id":"0042205775"},{"enrlmt_id":"O20200207001568","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"SC","pac_id":"0042205775"},{"enrlmt_id":"O20200311002058","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"AL","pac_id":"0042205775"},{"enrlmt_id":"O20220207000790","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TN","pac_id":"0042205775"},{"enrlmt_id":"O20220310000242","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"DC","pac_id":"0042205775"},{"enrlmt_id":"O20220427000955","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IL","pac_id":"0042205775"},{"enrlmt_id":"O20220613000879","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OR","pac_id":"0042205775"},{"enrlmt_id":"O20220927003920","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OH","pac_id":"0042205775"},{"enrlmt_id":"O20230310001129","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MS","pac_id":"0042205775"},{"enrlmt_id":"O20230421001432","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"GU","pac_id":"0042205775"},{"enrlmt_id":"O20230915000655","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"HI","pac_id":"0042205775"},{"enrlmt_id":"O20231102002105","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"PA","pac_id":"0042205775"},{"enrlmt_id":"O20231130003634","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"SD","pac_id":"0042205775"},{"enrlmt_id":"O20240723002995","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NJ","pac_id":"0042205775"}]},"enumeration_date":"2005-11-21","last_updated":"2012-11-06","_meta":{"source":"NPPES","snapshot_date":"2012-11-06","doc_url":"https://findmynpi.com/api"}}