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SOUTHEAST GEORGIA OPEN MRI LLC
NPI 1255438974
Radiology - Diagnostic Radiology in Brunswick, GA

Active since September 17, 2006
1103 FOUNTAIN LAKE DRIVE, BRUNSWICK, GA 31525(912) 267-6736(912) 262-1922 Get Directions Write a Review

NPPES record last updated: January 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southeast Georgia Open Mri Llc NPPES

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

SOUTHEAST GEORGIA OPEN MRI LLC (NPI 1255438974) is a healthcare organization registered as a diagnostic radiology in Brunswick, Georgia and active in the NPI registry since September 2006. The organization lists Caroline Harris, Account Director, as its authorized official.

NPPES Registry Identity

NPI1255438974
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSOUTHEAST GEORGIA OPEN MRI LLC
Location Address1103 FOUNTAIN LAKE DRIVEBrunswick, GA 31525
Mailing Address1103 Fountain Lake DriveBrunswick, GA 31525 · (912) 267-6736 · Fax (912) 262-1922
Phone(912) 267-6736
Fax(912) 262-1922
Organization SubpartNo
Authorized OfficialCaroline HarrisAccount Director · (912) 267-6736
Enumeration DateSeptember 17, 2006
Last NPPES UpdateJanuary 27, 2012
✔ NPI 1255438974 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.
1103 FOUNTAIN LAKE DRIVE, Brunswick, GA 31525
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Other Identifiers 4

Other1942294848Billing Provider Number
Medicare UPIN300091187GA
Medicare ID-Type Unspecified47BBBBVGA
Medicaid00469169GGA

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 CareSource.Insurance ›

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 Southeast Georgia Open Mri LLC's NPI number?

The NPI number for Southeast Georgia Open Mri LLC is 1255438974. It was assigned to this organization in the NPPES registry on September 17, 2006.

Where is Southeast Georgia Open Mri LLC located?

Southeast Georgia Open Mri LLC is located at 1103 Fountain Lake Drive, Brunswick, GA 31525. The listed phone number is (912) 267-6736.

What is Southeast Georgia Open Mri LLC's specialty?

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

What insurance does Southeast Georgia Open Mri LLC accept?

Health plans from CareSource list Southeast Georgia Open 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 Southeast Georgia Open Mri LLC was last updated on January 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.