Individual provider Active NPI

Anthony David Junck, M.D.

  • Diagnostic Radiology Physician
  • Tupelo, MS
National Provider Identifier
1003027376
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
22627 Issued in MS
Practice address
620 Crossover Rd
Tupelo, MS 38801-4944
Phone
(662) 842-1758
Fax
(662) 844-8298
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 22627 MS Primary

Addresses

Primary practice location

620 Crossover Rd
Tupelo, MS 38801-4944

Mailing address

620 Crossover Rd
Tupelo, MS 38801-4944
Phone (662) 842-1758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171108002456 FL Practitioner - Diagnostic Radiology 3678737905 Reassigns benefits to 3 organizations
I20200411000028 AL Practitioner - Diagnostic Radiology 3678737905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Pensacola PAGroup PAC ID 0749240836, 20 clinicians

Practice addresses (Care Compare)

1040 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-7809
Phone (850) 916-8700

1110 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4884
Phone (850) 934-2000

121 Baptist Way
Pensacola, FL 32503-2254
Phone (850) 434-4011

123 Baptist Way
Pensacola, FL 32503-2254
Phone (448) 227-3400

1301 Belleville Ave
Brewton, AL 36426-1306
Phone (850) 438-6784

1360 Brickyard Rd
Chipley, FL 32428-6303
Phone (850) 638-1610

14114 Alabama St
Jay, FL 32565-1219
Phone (850) 675-8000

1717 N E St
Pensacola, FL 32501-6339
Phone (850) 432-6851

2695 Edmund Dr
Dr Rivera Home Office
Gulf Breeze, FL 32563-3708
Phone (850) 432-6851

8333 N Davis Hwy
Pensacola, FL 32514-6050
Phone (850) 474-8000

8383 N Davis Hwy
Pensacola, FL 32514-6039
Phone (850) 494-4000

8888 Navarre Pkwy
Navarre, FL 32566-3615
Phone (850) 939-4888

9400 University Pkwy
Pensacola, FL 32514-5752
Phone (850) 208-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
121237CAMDSocial Worker
22627MSMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Radiology Associates PA Diagnostic Radiology CurrentSince Aug 28, 2017 Accepting new patients
West Florida Medical Center Clinic, PA CurrentSince Mar 1, 2020 Accepting new patients
Radiology Associates of Pensacola, PA Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
West Florida Medical Center Clinic PA Past Accepting new patients

Locations

1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439

14114 Alabama St
Jay, FL 32565
Phone (850) 675-8000

8333 N Davis Hwy
Pensacola, FL 32514
Phone (850) 474-8000

1717 N E St
Ste 300
Pensacola, FL 32501
Phone (850) 444-4741

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14612/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1003027376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CROSSOVER RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014944",
            "telephone_number": "662-842-1758",
            "fax_number": "662-844-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CROSSOVER RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014944",
            "telephone_number": "662-842-1758",
            "fax_number": "662-844-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNCK",
        "first_name": "ANTHONY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "22627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.