MEDICARE: AMERICAN HEALTH IMAGING OF GEORGIA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0200X	Radiology Clinic/Center

General Provider Information

NPI Number	:	1891151064
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HEALTH IMAGING OF GEORGIA, LLC

Provider Business Mailing Address
First Line	:	PO BOX 745973
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-5973
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6445 POWERS FERRY RD
Second Line	:	SUITE 100
City	:	ATLANTA
State	:	GA
Zip	:	30339-2909
Country	:	US
Telephone Number	:	770-953-0108
Fax Number	:	770-953-0109

Authorized Official
Title or Position	:	DIRECTOR OF CREDENTIALING
Name	:	KATRINA ROELLE
Credential	:
Telephone Number	:	614-689-1691

Provider Enumeration Date	:	01/04/2016
Last Update Date	:	07/18/2024

Similar Medicare Providers

1639200678 — DR. JONATHAN J ORR PHD, LPC, NCC
Practice Location Address:

30 PRYOR ST SW , ROOM 976
ATLANTA, GA
30303-2909

Practice Phone: 404-651-3407
Practice Fax:

1144619016 — WE UP HOME HEALTH SERVICES LLC
Practice Location Address:

2909 PEACHTREE RD; NW
ATLANTA, GA
30305

Practice Phone: 770-687-9445
Practice Fax:

1558750141 — A2H2
Practice Location Address:

2909 PEACHTREE RD; NW;
ATLANTA, GA
30305

Practice Phone: 404-227-2417
Practice Fax:

1790248599 — AMANDA NICOLE GATES BA
Practice Location Address:

2909 CAMPBELLTON RD SW APT 19G
ATLANTA, GA
30311-4509

Practice Phone: 404-740-0562
Practice Fax:

1497548655 — XANBODY LLC
Practice Location Address:

4300 PACES FERRY RD SE STE 500
ATLANTA, GA
30339-5714

Practice Phone: 678-390-4149
Practice Fax: 678-737-1729

1023661816 — IRENE OBIAGERI IBENYENWA FNP-C
Practice Location Address:

4300 PACES FERRY RD SE
ATLANTA, GA
30339-5703

Practice Phone: 678-390-4149
Practice Fax: 678-737-1729

Directions to “AMERICAN HEALTH IMAGING OF GEORGIA, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.