MARIETTA IMAGING CENTER MARIETTA IMAGING AT NORTH COBB
NPI 1154371805
Radiology - Diagnostic Radiology in Marietta, GA

NPI Status: Active since May 12, 2006

Contact Information

780 CANTON ROAD NE
SUITE 230
MARIETTA, GA
ZIP 30060
Phone: (770) 792-1234
Fax: (770) 424-1194

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  • Organization
  • Radiology
  • Diagnostic Radiology

About MARIETTA IMAGING CENTER MARIETTA IMAGING AT NORTH COBB

This page provides the complete NPI Profile along with additional information for Marietta Imaging Center Marietta Imaging At North Cobb, a provider established in Marietta, Georgia operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1154371805 assigned on May 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Marietta Imaging Center Marietta Imaging At North Cobb. The authorized official of this NPI record is Mr. Mike Evertseb (Ceo)

NPI
1154371805
Provider Legal Name
MARIETTA DIAGNOSTIC CENTER, LLC
Other Organization Name
MARIETTA IMAGING CENTER MARIETTA IMAGING AT NORTH COBB
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
780 CANTON ROAD NE SUITE 230 MARIETTA, GA 30060
Location Phone
(770) 792-1234
Location Fax
(770) 424-1194
Mailing Address
780 CANTON ROAD NE SUITE 230 MARIETTA, GA 30060
Mailing Phone
(770) 792-1234
Mailing Fax
(770) 424-1194
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-12-2006
Last Update Date
04-25-2013
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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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12085B0100XAllopathic & Osteopathic Physicians

Radiology
Body Imaging

 
22085N0904XAllopathic & Osteopathic Physicians

Radiology
Nuclear Radiology

 
32085U0001XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Ultrasound

 
4261QR0200XAmbulatory Health Care Facilities

Clinic/Center
Radiology

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. MIKE EVERTSEB

Authorized Official Title
CEO
Authorized Official Phone
(770) 792-1234

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
47BBBFPMEDICARE ID-TYPE UNSPECIFIED (04)GA 
764269020AMEDICAID (05)GA 
47BBBFMEDICARE UPIN (02)GA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154371805, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 6 + 7 + 2 + 8 + 0 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1154371805.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Neuromusculoskeletal Medicine & OMM
780 CANTON ROAD NE, SUITE 400
MARIETTA, GA 30060
Neuromusculoskeletal Medicine & OMM
780 CANTON ROAD NE, SUITE 400
MARIETTA, GA 30060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154371805, enumerated as an "organization" on May 12, 2006.

The provider is located at 780 CANTON ROAD NE SUITE 230 MARIETTA, GA 30060 and the phone number is (770) 792-1234.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.