SOUTH GEORGIA RADIOLOGY CONSULTANTS, PC
NPI 1952419012
Radiology - Diagnostic Radiology in Lake Park, GA

Active since August 29, 2006
5843 DEOSTA DR, LAKE PARK, GA 31636(229) 259-4888(229) 559-8178 Get Directions Write a Review

NPPES record last updated: June 22, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About South Georgia Radiology Consultants, Pc NPPES

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

SOUTH GEORGIA RADIOLOGY CONSULTANTS, PC (NPI 1952419012) is a healthcare organization registered as a diagnostic radiology in Lake Park, Georgia and active in the NPI registry since August 2006. The organization lists Michael R. Millner, Md Owner, as its authorized official.

NPPES Registry Identity

NPI1952419012
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSOUTH GEORGIA RADIOLOGY CONSULTANTS, PC
Location Address5843 DEOSTA DRLake Park, GA 31636-3405
Mailing AddressP.o. Box 3201, 1125 Troupe StreetAugusta, GA 30914-3201 · (706) 737-4575 · Fax (706) 731-5289
Fax(229) 559-8178
Organization SubpartNo
Authorized OfficialMichael R. MillnerMd Owner · (706) 737-4575
Enumeration DateAugust 29, 2006
Last NPPES UpdateJune 22, 2009
✔ NPI 1952419012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ 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.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X
Also ListedRadiology · Diagnostic NeuroimagingTaxonomy 2085D0003X
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X
Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X
5843 DEOSTA DR, Lake Park, GA 31636

Other Identifiers 3

Other1447200399Npi - Michael Millner, Md
Medicare PINCA6731GA
Other157743000Acs Dol

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to South Georgia Radiology Consultants, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Diagnostic Radiology
NPI 1447200399
2501 N PATTERSON ST
Valdosta, GA 31602
(229) 259-4888
✔ PECOS✔ Accepts Medicare12 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 Georgia Radiology Consultants, PC's NPI number?

The NPI number for South Georgia Radiology Consultants, PC is 1952419012. It was assigned to this organization in the NPPES registry on August 29, 2006.

Where is South Georgia Radiology Consultants, PC located?

South Georgia Radiology Consultants, PC is located at 5843 Deosta Dr, Lake Park, GA 31636. The listed phone number is (229) 259-4888.

What is South Georgia Radiology Consultants, PC's specialty?

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

Is South Georgia Radiology Consultants, PC enrolled in Medicare?

Yes. South Georgia Radiology Consultants, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Georgia Radiology Consultants, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Diagnostic Radiology) reassigns their Medicare billing to South Georgia Radiology Consultants, 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. 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 Georgia Radiology Consultants, PC was last updated on June 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.