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PRO RADIOLOGY, LLC
NPI 1164966461
Clinic/Center - Radiology in Atlanta, GA

Active since December 06, 2016CLIA 11D2129250 · Waiver
60 PEACHTREE PARK DR NE, ATLANTA, GA 30309(678) 278-8800(678) 278-8797 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 19, 2024, Jan 13, 2017 (2 updates tracked since 2017).

About Pro Radiology, Llc NPPES

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

PRO RADIOLOGY, LLC (NPI 1164966461) is a healthcare organization registered as a radiology in Atlanta, Georgia and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through April 16, 2027 and lists Katrina Roelle, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1164966461
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NamePRO RADIOLOGY, LLC
Location Address60 PEACHTREE PARK DR NEAtlanta, GA 30309-1304
Mailing AddressPo Box 746534Atlanta, GA 30374-6534
Phone(678) 278-8800
Fax(678) 278-8797
Organization SubpartNo
Authorized OfficialKatrina RoelleDirector Of Credentialing · (614) 689-1691
Enumeration DateDecember 6, 2016
Last NPPES UpdateJuly 19, 20242 updates tracked since enumeration
NPPES CertifiedJuly 19, 2024
✔ NPI 1164966461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
60 PEACHTREE PARK DR NE, Atlanta, GA 30309
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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)

Pro Radiology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

202

Medicare enrollment records show 202 clinicians reassign Medicare billing to Pro Radiology, LLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Diagnostic Radiology194
Interventional Radiology7
Neurology1

Nearest to this location (20)

See all 202
Richard Woodcock
Diagnostic Radiology
NPI 1114958741
550 PEACHTREE STREET, MOT GROUND FLOOR ,CRAWFORD LONG HOSPITAL
Atlanta, GA 30308
(404) 686-3952
✔ PECOS✔ Accepts Medicare3.0 mi
Robert Price, MD
Interventional Radiology
NPI 1851362719
303 PARKWAY DR NE
Atlanta, GA 30312
(404) 265-4000
✔ PECOS3.5 mi
Rick Mckeown, M.D.
Diagnostic Radiology
NPI 1083672216
3101 CLAIRMONT RD NE SUITE A
Atlanta, GA 30329
(404) 982-9992
✔ PECOS4.9 mi
David Owens, MD
Diagnostic Radiology
NPI 1932284833
4545 HARRIS TRL NW
Atlanta, GA 30327
(404) 277-1502
✔ PECOS5.1 mi
Abdulrahman Nasiru
Diagnostic Radiology
NPI 1427478171
790 CHURCH ST NE STE 400
Atlanta, GA 30322
(770) 405-2976
✔ PECOS✔ Accepts Medicare5.2 mi
Kenneth Lynch, M.D.
Diagnostic Radiology
NPI 1881654648
598 NANCY ST NW SUITE 100
Marietta, GA 30060
(770) 952-8899
✔ PECOS✔ Accepts Medicare14 mi
James Robertson, MD
Diagnostic Radiology
NPI 1023062809
790 CHURCH ST NE STE 400
Marietta, GA 30060
(770) 952-8899
✔ PECOS14 mi
Eric Beltz, M.D.
Diagnostic Radiology
NPI 1568648889
790 CHURCH ST NE STE 400
Marietta, GA 30060
(770) 405-2976
✔ PECOS✔ Accepts Medicare14 mi
Ashley Blanchard
Diagnostic Radiology
NPI 1144718115
790 CHURCH ST NE STE 400
Marietta, GA 30060
(770) 405-2976
✔ PECOS✔ Accepts Medicare14 mi
Sarah Bochar, MD
Diagnostic Radiology
NPI 1336191998
790 CHURCH ST NE STE 400
Marietta, GA 30060
(770) 952-8899
✔ PECOS14 mi
Phillip Byrd, MD
Diagnostic Radiology
NPI 1841264496
790 CHURCH ST NE STE 400
Marietta, GA 30060
(770) 751-2500
✔ PECOS✔ Accepts Medicare14 mi
Aaron Cann, MD
Diagnostic Radiology
NPI 1568412385
790 CHURCH ST NE STE 400
Marietta, GA 30060
(770) 952-8899
✔ PECOS✔ Accepts Medicare14 mi
Bethany Cavazuti, M.D.
Diagnostic Radiology
NPI 1750670154
790 CHURCH ST NE STE 400
Marietta, GA 30060
(678) 239-0420
✔ PECOS✔ Accepts Medicare14 mi
Bryan Chang, MD
Diagnostic Radiology
NPI 1154740017
790 CHURCH ST NE STE 400
Marietta, GA 30060
(770) 405-2976
✔ PECOS✔ Accepts Medicare14 mi
William Chocallo, MD
Diagnostic Radiology
NPI 1295701316
790 CHURCH ST NE STE 400
Marietta, GA 30060
(770) 952-8899
✔ PECOS✔ Accepts Medicare14 mi
Jay Cinnamon, MD
Diagnostic Radiology
NPI 1194791491
790 CHURCH ST NE STE 400
Marietta, GA 30060
(770) 952-8899
✔ PECOS✔ Accepts Medicare14 mi
Michael Collins, MD
Diagnostic Radiology
NPI 1386633238
790 CHURCH ST NE STE 400
Marietta, GA 30060
(770) 405-2976
✔ PECOS14 mi
Tarak Patel, MD
Interventional Radiology
NPI 1962542696
790 CHURCH ST NE STE 400
Marietta, GA 30060
(770) 405-2976
✔ PECOS✔ Accepts Medicare14 mi
Ethan Speir, MD
Interventional Radiology
NPI 1992202121
790 CHURCH ST NE STE 400
Marietta, GA 30060
(770) 405-2976
✔ PECOS✔ Accepts Medicare14 mi
Roger Williams, DO
Interventional Radiology
NPI 1457487639
790 CHURCH ST NE STE 400
Marietta, GA 30060
(770) 405-2976
✔ PECOS✔ Accepts Medicare14 mi
See all 202 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2129250

Pro Radiology, LLC · Atlanta, GA
Active · expires Apr 16, 2027
CLIA Number11D2129250
Laboratory TypeOutpatient Radiology
Certificate Effective DateApril 17, 2025
Certificate Expiration DateApril 16, 2027
Laboratory DirectorDara Jones
Laboratory Phone(678) 278-8800
Laboratory LocationPro Radiology, LLC60 Peachtree Park Drive, NE, Suite 100, Atlanta, GA 30309
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pro Radiology, LLC's NPI number?

The NPI number for Pro Radiology, LLC is 1164966461. It was assigned to this organization in the NPPES registry on December 6, 2016.

Where is Pro Radiology, LLC located?

Pro Radiology, LLC is located at 60 Peachtree Park Dr NE, Atlanta, GA 30309. The listed phone number is (678) 278-8800.

What is Pro Radiology, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Is Pro Radiology, LLC enrolled in Medicare?

Yes. Pro Radiology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pro Radiology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 202 clinicians in 3 Medicare specialties reassign their Medicare billing to Pro Radiology, 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 (194), Interventional Radiology (7) and Neurology (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pro Radiology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2129250) is associated with this NPI, valid through April 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pro Radiology, LLC accept?

Health plans from CareSource list Pro Radiology, 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 Pro Radiology, LLC was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.