Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GEORGIA BREAST RADIOLOGY SPECIALISTS LLC
NPI 1871407064
Radiology - Diagnostic Radiology in Pooler, GA

Active since October 02, 2026
105 GRAND CENTRAL BLVD STE 106, POOLER, GA 31322(866) 717-2551 Get Directions Write a Review

NPPES record added: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Georgia Breast Radiology Specialists Llc NPPES

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

GEORGIA BREAST RADIOLOGY SPECIALISTS LLC (NPI 1871407064) is a healthcare organization registered as a diagnostic radiology in Pooler, Georgia and active in the NPI registry since October 2026. The organization maintains a secondary practice location in Addison and lists Michael J Deleo, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1871407064
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameGEORGIA BREAST RADIOLOGY SPECIALISTS LLC
Location Address105 GRAND CENTRAL BLVD STE 106Pooler, GA 31322-4148
Mailing Address15601 Dallas Pkwy Ste 300Addison, TX 75001-6012 · (866) 717-2551
Organization SubpartNo
Authorized OfficialMichael J DeleoAuthorized Official · (610) 745-4400
Enumeration DateOctober 2, 2026
NPPES CertifiedOctober 2, 2026
✔ NPI 1871407064 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.
105 GRAND CENTRAL BLVD STE 106, Pooler, GA 31322

Secondary Practice Location 1

Location 115601 Dallas Pkwy Ste 300Addison, TX 75001-6012 · Phone (866) 717-2551

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 Georgia Breast Radiology Specialists LLC's NPI number?

The NPI number for Georgia Breast Radiology Specialists LLC is 1871407064. It was assigned to this organization in the NPPES registry on October 2, 2026.

Where is Georgia Breast Radiology Specialists LLC located?

Georgia Breast Radiology Specialists LLC is located at 105 Grand Central Blvd Ste 106, Pooler, GA 31322. The listed phone number is (866) 717-2551.

What is Georgia Breast Radiology Specialists 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 Georgia Breast Radiology Specialists LLC was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.