1. Home
  2. Directory
  3. Georgia
  4. Fayetteville
  5. Radiology
  6. NPI Profile

TRIDENT PET OF FAYETTE
NPI 1619962503
Radiology - Diagnostic Radiology in Fayetteville, GA

Active since September 16, 2005
1275 HIGHWAY 54 W, STE 102, FAYETTEVILLE, GA 30214(770) 719-3754(770) 719-3804 Get Directions Write a Review

NPPES record last updated: April 10, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Trident Pet Of Fayette NPPES

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

TRIDENT PET OF FAYETTE (NPI 1619962503) is a healthcare organization registered as a diagnostic radiology in Fayetteville, Georgia and active in the NPI registry since September 2005. The organization lists Guy A Messer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1619962503
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameP E T IMAGING OF FAYETTE LLC
Location Address1275 HIGHWAY 54 W, STE 102Fayetteville, GA 30214-4549
Mailing Address1275 Highway 54 W, Ste 103Fayetteville, GA 30214-4549 · (770) 692-2371 · Fax (770) 692-2373
Phone(770) 719-3754
Fax(770) 719-3804
Organization SubpartYesParent: Trident Molecular Imaging, Llc
Authorized OfficialGuy A MesserCfo · (770) 692-2371
Enumeration DateSeptember 16, 2005
Last NPPES UpdateApril 10, 2012
✔ NPI 1619962503 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.

1275 HIGHWAY 54 W, Fayetteville, GA 30214
Open in Google Maps ↗

Other Names 2

Doing Business AsTrident Pet Of Fayette
Doing Business AsTrident Pet Of Fayette

Other Identifiers 1

Medicare ID-Type Unspecified47BBBJJGA

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

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARTHA A SCHUH M.D.
Specialist
1275 HIGHWAY 54 W, SUITE 201
FAYETTEVILLE, GA 30214
Fayette County (770) 461-3776
J. RENA OWSLEY-BROWN DMD
Dentist (General Practice)
1275 HIGHWAY 54 W, SUITE 204
FAYETTEVILLE, GA 30214
Fayette County (770) 461-5500
LESLIE ROSENBLATT-BROWN PA-C
Physician Assistant
1275 HIGHWAY 54 W, SUITE 201
FAYETTEVILLE, GA 30214
Fayette County (770) 461-3776
ATLANTA METRO UROLOGY CLINICS PC
Urology
1275 HIGHWAY 54 W, SUITE 205
FAYETTEVILLE, GA 30214
Fayette County (770) 716-9656
MS. SHANNON WILLIAMS ALEXANDER OTR L
Occupational Therapist
1275 HIGHWAY 54 W, STE 200
FAYETTEVILLE, GA 30214
Fayette County (770) 460-8609
MR. WALLACE MAXWELL GREEN PAC
Psychiatry & Neurology (Neurology)
1275 HIGHWAY 54 W, STE.105
FAYETTEVILLE, GA 30214
Fayette County (770) 719-2965
MARTHA A SCHUH, MD
Specialist
1275 HIGHWAY 54 W, SUITE 201
FAYETTEVILLE, GA 30214
Fayette County (770) 461-3776
ATLANTA SOUTH PHYSICAL THERAPY, INC
Physical Therapist
1275 HIGHWAY 54 W, SUITE 202
FAYETTEVILLE, GA 30214
Fayette County (770) 460-8609

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 P E T Imaging Of Fayette LLC's NPI number?

The NPI number for P E T Imaging Of Fayette LLC is 1619962503. It was assigned to this organization in the NPPES registry on September 16, 2005.

Where is P E T Imaging Of Fayette LLC located?

P E T Imaging Of Fayette LLC is located at 1275 Highway 54 W Ste 102, Fayetteville, GA 30214. The listed phone number is (770) 719-3754.

What is P E T Imaging Of Fayette LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for P E T Imaging Of Fayette LLC was last updated on April 10, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.