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Frederica Imaging PC

NPI 1750775540ActiveOrganization· Radiology, Diagnostic Radiology· Saint Simons Island, GA

Radiology, Diagnostic Radiology in Saint Simons Island, Georgia, registered in NPPES in March 2015. The authorized official on file is Christopher Dooley, Md. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1750775540
StatusActive
Entity typeOrganization
NPI issuedMar 19, 2015
Last updated in NPPESMar 24, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Radiology, Diagnostic Radiology Primary2085R0202X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (GA)

Medicare sources and data years

Other Radiology, Diagnostic Radiology providers in Saint Simons Island

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