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CENTRAL GEORGIA MRI LLC
NPI 1114908522
Radiology - Diagnostic Radiology in Macon, GA

Active since November 11, 2005
770 PINE ST STE L15, ATTN: RADIOLOGY DEPARTMENT, MACON, GA 31201(478) 746-1020(478) 746-0591 Get Directions Write a Review

NPPES record last updated: November 6, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Central Georgia Mri Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL GEORGIA MRI LLC (NPI 1114908522) is a healthcare organization registered as a diagnostic radiology in Macon, Georgia and active in the NPI registry since November 2005. The organization lists Mark E. Grossnickle, President, as its authorized official.

NPPES Registry Identity

NPI1114908522
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameCENTRAL GEORGIA MRI LLC
Location Address770 PINE ST STE L15, ATTN: RADIOLOGY DEPARTMENTMacon, GA 31201-7519
Mailing Address770 Pine St Ste L15, Attn: Radiology DepartmentMacon, GA 31201-7519 · (478) 746-1020 · Fax (478) 746-0591
Phone(478) 746-1020
Fax(478) 746-0591
Organization SubpartNo
Authorized OfficialMark E. GrossnicklePresident · (478) 746-1020
Enumeration DateNovember 11, 2005
Last NPPES UpdateNovember 6, 2012
✔ NPI 1114908522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
770 PINE ST STE L15, Macon, GA 31201
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Central Georgia Mri Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateSouth CarolinaEnrollment IDO20200130002559Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

70

Medicare enrollment records show 70 clinicians reassign Medicare billing to Central Georgia Mri LLC, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 19 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Diagnostic Radiology67
Internal Medicine1
Interventional Radiology1
Nurse Practitioner1

Nearest to this location (20)

See all 70
Fayyaz Barodawala, M.D.
Diagnostic Radiology
NPI 1942238084
770 PINE ST STE 290
Macon, GA 31201
(478) 743-1458
✔ PECOS✔ Accepts MedicareSame address
Ericha Benshoff, MD
Diagnostic Radiology
NPI 1770573503
770 PINE ST STE 290 ATTN: RADIOLOGY DEPARTMENT
Macon, GA 31201
(478) 743-1458
✔ PECOS✔ Accepts MedicareSame address
Carol Collings, MD
Diagnostic Radiology
NPI 1275523086
770 PINE ST STE 290 ATTN: RADIOLOGY DEPARTMENT
Macon, GA 31201
(478) 743-1458
✔ PECOS✔ Accepts MedicareSame address
Joshua Cooper, MD
Internal Medicine
NPI 1982922365
770 PINE ST SUITE 290
Macon, GA 31201
(478) 743-1458
✔ PECOS✔ Accepts MedicareSame address
Karekin Cunningham, MD
Diagnostic Radiology
NPI 1316162779
770 PINE ST SUITE 290
Macon, GA 31201
(478) 743-1458
✔ PECOS✔ Accepts MedicareSame address
Marcus Evans, MD
Diagnostic Radiology
NPI 1831310861
770 PINE ST STE 290 ATTN: RADIOLOGY DEPARTMENT
Macon, GA 31201
(478) 743-1458
✔ PECOS✔ Accepts MedicareSame address
Mark Grossnickle, MD
Diagnostic Radiology
NPI 1942281076
770 PINE ST STE 290 ATTN: RADIOLOGY DEPARTMENT
Macon, GA 31201
(478) 743-1458
✔ PECOS✔ Accepts MedicareSame address
Michael Jones, MD
Diagnostic Radiology
NPI 1962492736
770 PINE ST STE 290 ATTN: RADIOLOGY DEPARTMENT
Macon, GA 31201
(478) 743-1458
✔ PECOS✔ Accepts MedicareSame address
Mark Keenan, MD
Diagnostic Radiology
NPI 1932199742
770 PINE ST STE 290 ATTN: RADIOLOGY DEPARTMENT
Macon, GA 31201
(478) 743-1458
✔ PECOS✔ Accepts MedicareSame address
Christopher Minette, MD
Diagnostic Radiology
NPI 1669443719
770 PINE ST STE 290 ATTN: RADIOLOGY DEPARTMENT
Macon, GA 31201
(478) 743-1458
✔ PECOS✔ Accepts MedicareSame address
Larry Schwartz, MD
Diagnostic Radiology
NPI 1376533273
770 PINE ST STE 290 ATTN: RADIOLOGY DEPARTMENT
Macon, GA 31201
(478) 743-1458
✔ PECOS✔ Accepts MedicareSame address
Garry Simons, MD
Diagnostic Radiology
NPI 1568442887
770 PINE ST STE 290 ATTN: RADIOLOGY DEPARTMENT
Macon, GA 31201
(478) 743-1458
✔ PECOS✔ Accepts MedicareSame address
Jason Stephens, MD
Diagnostic Radiology
NPI 1972723054
770 PINE ST STE 290 ATTN: RADIOLOGY DEPARTMENT
Macon, GA 31201
(478) 743-1458
✔ PECOS✔ Accepts MedicareSame address
Loy Strawn, MD
Diagnostic Radiology
NPI 1902888969
770 PINE ST STE 290 ATTN: RADIOLOGY DEPARTMENT
Macon, GA 31201
(478) 743-1458
✔ PECOS✔ Accepts MedicareSame address
Annie Williams, MD
Diagnostic Radiology
NPI 1831495696
770 PINE ST SUITE 290
Macon, GA 31201
(478) 743-1458
✔ PECOS✔ Accepts MedicareSame address
Michael Zinsmeister, MD
Diagnostic Radiology
NPI 1811987704
770 PINE ST STE 290 ATTN: RADIOLOGY DEPARTMENT
Macon, GA 31201
(478) 743-1458
✔ PECOS✔ Accepts MedicareSame address
Mark Barrow, MD
Diagnostic Radiology
NPI 1134101199
770 PINE STREET SUITE 290
Macon, GA 31201
(478) 751-5825
✔ PECOS✔ Accepts MedicareSame address
Andrew King, M.D.
Diagnostic Radiology
NPI 1356623235
777 HEMLOCK ST MSC 69
Macon, GA 31201
(478) 633-1700
✔ PECOS✔ Accepts Medicare0.1 mi
Chelsea Rizkalla, NP-C
Nurse Practitioner
NPI 1316451511
890 2ND ST STE 201
Macon, GA 31201
(478) 745-4322
✔ PECOS✔ Accepts Medicare0.3 mi
Neal Simmons, MD
Diagnostic Radiology
NPI 1578540647
11 UPPER RIVERDALE RD SW
Riverdale, GA 30274
(770) 991-8000
✔ PECOS✔ Accepts Medicare67 mi
See all 70 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Central Georgia Mri LLC's NPI number?

The NPI number for Central Georgia Mri LLC is 1114908522. It was assigned to this organization in the NPPES registry on November 11, 2005.

Where is Central Georgia Mri LLC located?

Central Georgia Mri LLC is located at 770 Pine St Ste L15 Attn: Radiology Department, Macon, GA 31201. The listed phone number is (478) 746-1020.

What is Central Georgia Mri LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Central Georgia Mri LLC enrolled in Medicare?

Yes. Central Georgia Mri LLC is registered in the Medicare PECOS enrollment system.

When is Central Georgia Mri LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Carolina, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Central Georgia Mri LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 70 clinicians in 4 Medicare specialties reassign their Medicare billing to Central Georgia Mri LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (67), Internal Medicine (1) and Interventional Radiology (1). Of these, 17 practice at this address and 19 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Central Georgia Mri LLC accept?

Health plans from Alliant Health Plans, Inc. list Central Georgia Mri LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Central Georgia Mri LLC was last updated on November 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.