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

Q: 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. The provider is doing business as Trident Pet Of Fayette and Trident PET of Fayette.

Q: 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.

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: August 16, 2026.

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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

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Other Names 2

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 15

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

J. RENA OWSLEY-BROWN DMD

Dentist (General Practice)

1275 HIGHWAY 54 W, SUITE 204
FAYETTEVILLE, GA 30214

Fayette County (770) 461-5500

MS. SHANNON WILLIAMS ALEXANDER OTR L

Occupational Therapist

1275 HIGHWAY 54 W, STE 200
FAYETTEVILLE, GA 30214

Fayette County (770) 460-8609

MARTHA A SCHUH, MD

Specialist

1275 HIGHWAY 54 W, SUITE 201
FAYETTEVILLE, GA 30214

Fayette County (770) 461-3776

MR. WALLACE MAXWELL GREEN PAC

Psychiatry & Neurology (Neurology)

1275 HIGHWAY 54 W, STE.105
FAYETTEVILLE, GA 30214

Fayette County (770) 719-2965

MR. JOHN W SIMS N.P.

Nurse Practitioner

1275 HIGHWAY 54 W, SUITE 200
FAYETTEVILLE, GA 30214

Fayette County (770) 461-3776

AARON H HONEYCUTT PT, DPT

Physical Therapist

1275 HIGHWAY 54 W, SUITE 200
FAYETTEVILLE, GA 30214

Fayette County (770) 460-8609

MARTHA A SCHUH M.D.

Specialist

1275 HIGHWAY 54 W, SUITE 201
FAYETTEVILLE, GA 30214

Fayette County (770) 461-3776

J. RENA OWSLEY-BROWN

Dentist (General Practice)

1275 HIGHWAY 54 W, SUITE 204
FAYETTEVILLE, GA 30214

Fayette County (770) 461-5500

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. The provider is doing business as Trident Pet Of Fayette and Trident PET of Fayette.

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 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.