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

SOUTH GWINNETT RADIOLOGY PC
NPI 1740232677
Radiology - Diagnostic Radiology in Snellville, GA

Active since May 17, 2006
1700 MEDICAL WAY, SNELLVILLE, GA 30078(770) 979-0200 Get Directions Write a Review

NPPES record last updated: October 10, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About South Gwinnett Radiology Pc NPPES

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

SOUTH GWINNETT RADIOLOGY PC (NPI 1740232677) is a healthcare organization registered as a diagnostic radiology in Snellville, Georgia and active in the NPI registry since May 2006. The organization lists Charlotte A Hayes, Radiologist, as its authorized official.

NPPES Registry Identity

NPI1740232677
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSOUTH GWINNETT RADIOLOGY PC
Location Address1700 MEDICAL WAYSnellville, GA 30078
Mailing AddressPo Box 116075Atlanta, GA 30368 · (855) 709-1801 · Fax (610) 373-2308
Phone(770) 979-0200
Organization SubpartNo
Authorized OfficialCharlotte A HayesRadiologist · (770) 979-0200
Enumeration DateMay 17, 2006
Last NPPES UpdateOctober 10, 2017
✔ NPI 1740232677 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.
1700 MEDICAL WAY, Snellville, GA 30078
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedGRP4309GA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Gwinnett Radiology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to South Gwinnett Radiology PC, which bills Medicare for the services they deliver. Of these, 9 practice at this address. They are listed nearest first.

Clinicians, nearest first (11)

Michael Aho, MD
Diagnostic Radiology
NPI 1477729051
1700 MEDICAL WAY
Snellville, GA 30078
(770) 979-0200
✔ PECOS✔ Accepts MedicareSame address
Gregory Berkey, MD
Diagnostic Radiology
NPI 1538145529
1700 MEDICAL WAY
Snellville, GA 30078
(770) 979-0200
✔ PECOS✔ Accepts MedicareSame address
Rahul Gupta, MD
Diagnostic Radiology
NPI 1932151628
1700 MEDICAL WAY
Snellville, GA 30078
(770) 736-2247
✔ PECOS✔ Accepts MedicareSame address
Sarat Piduru, M.D.
Diagnostic Radiology
NPI 1740466424
1700 MEDICAL WAY
Snellville, GA 30078
(770) 736-2247
✔ PECOS✔ Accepts MedicareSame address
Arvind Sivakumaran, M.D.
Diagnostic Radiology
NPI 1215258231
1700 MEDICAL WAY
Snellville, GA 30078
(770) 979-0200
✔ PECOS✔ Accepts MedicareSame address
Charlotte Hayes, MD
Diagnostic Radiology
NPI 1043284615
1700 MEDICAL WAY
Snellville, GA 30078
(770) 979-0200
✔ PECOS✔ Accepts MedicareSame address
Gautam Jagoo, MD
Diagnostic Radiology
NPI 1124092986
1700 MEDICAL WAY
Snellville, GA 30078
(770) 979-0200
✔ PECOS✔ Accepts MedicareSame address
Robert Kubek, MD
Diagnostic Radiology
NPI 1306822192
1700 MEDICAL WAY
Snellville, GA 30078
(770) 979-0200
✔ PECOS✔ Accepts MedicareSame address
Shailaja Sappati, MD
Diagnostic Radiology
NPI 1619949773
1700 MEDICAL WAY
Snellville, GA 30078
(770) 979-0200
✔ PECOS✔ Accepts MedicareSame address
Dawn Behr-Ventura, MD MPH
Diagnostic Radiology
NPI 1518934629
1000 JOHNSON FERRY RD
Atlanta, GA 30342
(404) 851-6323
✔ PECOS✔ Accepts Medicare19 mi
Sunil Kini, MD
Diagnostic Radiology
NPI 1215996681
2160 S 1ST AVE
Maywood, IL 60153
(708) 216-9000
✔ PECOS✔ Accepts Medicare589 mi

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

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 South Gwinnett Radiology PC's NPI number?

The NPI number for South Gwinnett Radiology PC is 1740232677. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is South Gwinnett Radiology PC located?

South Gwinnett Radiology PC is located at 1700 Medical Way, Snellville, GA 30078. The listed phone number is (770) 979-0200.

What is South Gwinnett Radiology PC's specialty?

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

Is South Gwinnett Radiology PC enrolled in Medicare?

Yes. South Gwinnett Radiology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Gwinnett Radiology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to South Gwinnett Radiology PC. 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. Of these, 9 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for South Gwinnett Radiology PC was last updated on October 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.