Central Georgia Mri LLC
Central Georgia Mri LLC is a healthcare organization registered as Diagnostic Radiology Physician in Macon, GA, holding Type 2 (organization) NPI 1114908522 since 2005. The authorized official on file is Mark Grossnickle, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114908522 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Central Georgia Mri LLC |
| Practice address | 770 PINE ST STE L15, ATTN: RADIOLOGY DEPARTMENT, Macon, GA, 31201 |
| Phone | 4787461020 |
| Fax | 4787460591 |
| Enumeration date | 2005-11-11 |
| Last updated in NPPES | 2012-11-06 |
Authorized official
| Name | Mark Grossnickle |
|---|---|
| Title | President |
| Phone | 4787461020 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2085R0202X | Diagnostic Radiology Physician | Primary | — | — |
Copy-ready billing details
Provider: Central Georgia Mri LLC NPI: 1114908522 Taxonomy: 2085R0202X (Diagnostic Radiology Physician) Address: 770 PINE ST STE L15, ATTN: RADIOLOGY DEPARTMENT, Macon, GA, 31201
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1114900545 | Georgia Magnetic Imaging Center Ltd | Organization | Diagnostic Radiology Physician | Macon, GA |
Verify this record
Cross-check NPI 1114908522 against the authoritative CMS record: view Central Georgia Mri LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Central Georgia Mri LLC?
Who is the authorized official for Central Georgia Mri LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-11-06.