OSSP IMAGING OF MACON
NPI 1073190567
Clinic/Center - Radiology in Macon, GA

Active since March 29, 2021
4601 ARKWRIGHT RD, MACON, GA 31210(478) 217-2212(770) 679-8647 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Radiology

About OSSP IMAGING OF MACON

This page provides the complete NPI Profile along with additional information for Ossp Imaging Of Macon, a provider established in Macon, Georgia operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1073190567 assigned on March 2021. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Ra'keshia Brogdon (Credentialing Specialist)

NPI
1073190567 Verify this NPI
Provider Name
OSSP IMAGING OF MACON
Entity Type
Organization
Location Address
4601 ARKWRIGHT RD MACON, GA 31210
Location Phone
(478) 217-2212
Location Fax
(770) 679-8647
Mailing Address
5788 ROSWELL RD ATLANTA, GA 30328
Mailing Phone
(305) 290-2448
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-29-2021
Last Update Date
03-29-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Radiology

Taxonomy Code
261QR0200X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RA'KESHIA BROGDON

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(678) 783-7619

Reviews for OSSP IMAGING OF MACON

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Orthopaedic Surgery
4601 ARKWRIGHT RD
MACON, GA 31210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073190567, enumerated as an "organization" on March 29, 2021.

The provider is located at 4601 ARKWRIGHT RD MACON, GA 31210 and the phone number is (478) 217-2212.

Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.