GEORGIA WEST IMAGING, PC – Diagnostic Radiology Physician, NPI 1083689251
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GEORGIA WEST IMAGING, PC
2284 PEACHTREE RD NW
ATLANTA, GA 303091147
Phone: (404) 514-9856
Fax: (770) 834-0753
Type: Location
Tanner Medical Center, 705, Dixie Street, Carrollton, Carroll County, Georgia, 30117, United States
CARROLLTON, GA 301173816
Phone: (770) 834-0751
Fax: (770) 834-0753
Type: Location
P.O. BOX 639219
CINCINNATI, OH 452639219
Phone: (770) 834-0751
Fax: (770) 834-0753
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-05-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (984 days ago).
Enrollment records
7
Earliest due date
2023-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040406000257 | O | Clinic/Group Practice | GA | 2023-09-30 |
| O20220404000418 | O | Clinic/Group Practice | NY | TBD |
| O20220406000506 | O | Clinic/Group Practice | OH | TBD |
| O20220413000120 | O | Clinic/Group Practice | TX | TBD |
| O20220427000153 | O | Clinic/Group Practice | CA | TBD |
| O20220502002468 | O | Clinic/Group Practice | PA | TBD |
| O20220504000485 | O | Clinic/Group Practice | FL | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30309)
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