GEORGIA RADIOLOGY SERVICES, LLC
NPI 1124256540
Radiology - Diagnostic Radiology in Lagrange, GA
About Georgia Radiology Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GEORGIA RADIOLOGY SERVICES, LLC (NPI 1124256540) is a healthcare organization registered as a diagnostic radiology in Lagrange, Georgia and active in the NPI registry since June 2009. The organization lists Kim H Larsen, Director Of Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Georgia Radiology Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
25Medicare enrollment records show 25 clinicians reassign Medicare billing to Georgia Radiology Services, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 25Baltimore, MD 21201
Ann Arbor, MI 48109
Farmington, CT 06030
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 Georgia Radiology Services, LLC's NPI number?
The NPI number for Georgia Radiology Services, LLC is 1124256540. It was assigned to this organization in the NPPES registry on June 24, 2009.
Where is Georgia Radiology Services, LLC located?
Georgia Radiology Services, LLC is located at 1514 Vernon Rd, Lagrange, GA 30240. The listed phone number is (706) 882-1411.
What is Georgia Radiology Services, LLC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Georgia Radiology Services, LLC enrolled in Medicare?
Yes. Georgia Radiology Services, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Georgia Radiology Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 3 Medicare specialties reassign their Medicare billing to Georgia Radiology Services, 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 (23), Emergency Medicine (1) and Nurse Practitioner (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Georgia Radiology Services, LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Georgia Radiology Services, 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 Georgia Radiology Services, LLC was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Georgia Radiology Services, Llc · NPI 1124256540
Diagnostic Radiology organization in Lagrange, Georgia. Organization record, active in the CMS NPPES registry since June 24, 2009.
## Identity
- **NPI:** 1124256540 (Entity type: Organization)
- **Enumerated:** June 24, 2009
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Kim Larsen, DIRECTOR OF CREDENTIALING
## Practice location
- **Address:** 1514 VERNON RD, Lagrange, GA 30240-4131
- **Phone:** (706) 882-1411
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 25 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (23), Emergency Medicine (1), Nurse Practitioner (1); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1124256540/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1124256540) · Data from the CMS NPPES public registry.