SOUTH GEORGIA RADIOLOGY ASSOCIATES, LLC – Diagnostic Radiology Physician, NPI 1760669931
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SOUTH GEORGIA RADIOLOGY ASSOCIATES, LLC
PO BOX 1084
VIDALIA, GA 304751084
Phone:
Fax: (912) 304-5793
Type: Mailing
1305, Eisenhower Drive, Highland Park, Savannah, Chatham County, Georgia, 31406, United States
SAVANNAH, GA 314061607
Phone: (706) 975-5993
Fax: (912) 304-5793
Type: Location
PO BOX 1067
STATESBORO, GA 304591067
Phone: (912) 764-2455
Fax: (912) 764-7522
Type: Mailing
7505 WATERS AVE STE F10
SAVANNAH, GA 314063822
Phone: (706) 975-5993
Fax: (912) 304-5793
Type: Location
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: 2026-01-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1045 days ago).
Enrollment records
18
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| O20080514000110 | O | Clinic/Group Practice | GA | TBD |
| O20140114000819 | O | Clinic/Group Practice | SC | TBD |
| O20140127000943 | O | Clinic/Group Practice | FL | TBD |
| O20141017000430 | O | Clinic/Group Practice | NC | TBD |
| O20150804005436 | O | Clinic/Group Practice | AL | 2023-08-31 |
| O20160714000080 | O | Clinic/Group Practice | TX | 2023-07-31 |
| O20200501001030 | O | Clinic/Group Practice | NV | 2026-02-28 |
| O20200826001567 | O | Clinic/Group Practice | WA | 2026-07-31 |
| O20210922001028 | O | Clinic/Group Practice | AZ | TBD |
| O20220324001852 | O | Clinic/Group Practice | CO | TBD |
| O20230203001442 | O | Clinic/Group Practice | MS | TBD |
| O20230822000855 | O | Clinic/Group Practice | TN | TBD |
| O20240821002893 | O | Clinic/Group Practice | UT | TBD |
| O20250122000755 | O | Clinic/Group Practice | IN | TBD |
| O20250203002649 | O | Clinic/Group Practice | MI | TBD |
| O20250825000321 | O | Clinic/Group Practice | GA | TBD |
| O20250924001355 | O | Clinic/Group Practice | IL | TBD |
| O20260120004018 | O | Clinic/Group Practice | LA | 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 30475)
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