George Regional Radiology
NPI 1174775589ActiveOrganization· Specialist· Lucedale, MS
Specialist in Lucedale, Mississippi, registered in NPPES in October 2008. The authorized official on file is Kathy Fender, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174775589 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 16, 2008 |
| Last updated in NPPES | Dec 30, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 19622 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
Other Specialist providers in Lucedale
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