NPIMap

Organization Active NPI

Nol, LLC

Doing business as Premier Radiology

  • Diagnostic Radiology Physician
  • Dickson, TN
National Provider Identifier
1003910688
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NOL, LLC
Doing business as
Premier Radiology
Practice address
812 N Charlotte St
Dickson, TN 37055-1009
Phone
(615) 986-6411
Fax
(615) 986-6412
NPI assigned
Sep 12, 2006
Last updated
May 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Karen Vaughn
Title
Authorized Official
Phone
(629) 317-1465

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Family Nurse Practitioner 363LF0000X NU
Body Imaging Physician 2085B0100X NU
Diagnostic Radiology Physician 2085R0202X NU Primary
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X NU

Addresses

Primary practice location

812 N Charlotte St
Dickson, TN 37055-1009

Mailing address

PO Box 306512
Nashville, TN 37230-6512

Other identifiers 3

IdentifierTypeStateIssuer
0139565OtherTNBCBS
CG1374OtherTNRAILROAD MEDICARE
3719420MedicaidTN

Other names 1

  • Premier Radiology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031112000227 TN Part B Supplier - Clinic/Group Practice 5890608186 Receives reassigned benefits from 55 practitioners
Practice locations: Nashville, TN; Adams, TN; Brentwood, TN; Franklin, TN; Gallatin, TN; Germantown, TN; Hendersonville, TN; Madison, TN
O20220721000286 CO Part B Supplier - Clinic/Group Practice 5890608186 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Member organizations 14

Organizations listed as members of this organization in the National Provider Directory.

View all 14

Locations

5002 Crossings Cir
Ste 140
Mt Juliet, TN 37122
Phone (615) 773-7237

4928 Edmondson Pike
Ste 204
Nashville, TN 37211
Phone (615) 832-9551

Practitioners & affiliated clinicians

Practitioners 60

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1003910688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306512",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 N CHARLOTTE ST",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551009",
            "telephone_number": "615-986-6411",
            "fax_number": "615-986-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "629-317-1465"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0139565",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG1374",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3719420",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Radiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dickson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.