DR. SAMUEL FITZROY CORT MD NPI 1275507113

NPI Information

  • NPI: 1275507113
  • Provider Name: DR. SAMUEL FITZROY CORT, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 289 JONESBORO RD STE 339
    MCDONOUGH, GA
    ZIP 30253
  • Phone: (770) 656-6639

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NPI Details

DR. Samuel Fitzroy Cort, MD is a diagnostic radiology radiology in Mcdonough, GA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Samuel Fitzroy Cort, MD NPI is 1275507113. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

289 JONESBORO RD STE 339
MCDONOUGH, GA
ZIP 30253-725
Phone: (770) 656-6639
Fax: (770) 783-2042

The NPI 1275507113 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)

The enumeration date for this NPI number is 2/15/2006 and was last updated on 6/2/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085N0904XRadiologyNuclear RadiologyME82592FLORIDANo
22085N0700XRadiologyNeuroradiologyME82592FLORIDANo
32085P0229XRadiologyPediatric RadiologyME82592FLORIDANo
42085R0204XRadiologyVascular & Interventional RadiologyME82592FLORIDANo
52085U0001XRadiologyDiagnostic UltrasoundME82592FLORIDANo
62085B0100XRadiologyBody ImagingME82592FLORIDANo
72085R0202XRadiologyDiagnostic RadiologyME82592FLORIDANo
82085R0202XRadiologyDiagnostic Radiology35.076831OHIONo
92085R0202XRadiologyDiagnostic Radiology26608SOUTH CAROLINANo
102085R0202XRadiologyDiagnostic Radiology4301083098MICHIGANNo
112085R0202XRadiologyDiagnostic Radiology120443NORTH CAROLINANo
122085R0202XRadiologyDiagnostic Radiology054262GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1348649033DMEDICAIDGEORGIA
242011MEDICARE UPIN
3262466400MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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