Active NPI
Amy Frazier
- Radiologic Technologist
- Columbus, MS
National Provider Identifier
1013877224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- MRT-1123
- Practice address
- 445 Wilkins Wise Rd
Columbus, MS 39705-1756 - Phone
- (662) 570-1819
- Fax
- (662) 528-5106
- NPI assigned
- Nov 12, 2025
- Last updated
- Nov 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | MRT-1123 | MS | Primary |
Addresses
Primary practice location
445 Wilkins Wise Rd
Columbus, MS 39705-1756
Mailing address
445 Wilkins Wise Rd
Columbus, MS 39705-1756
Phone (662) 570-1819
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MRT-1123 | MS | MD | Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wave Diagnostics LLC | Radiologic Technologist | Current | Accepting new patients |
Locations
445 Wilkins Wise Rd
Columbus, MS 39705
Phone (662) 312-8042
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1013877224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 WILKINS WISE RD",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397051756",
"telephone_number": "662-570-1819",
"fax_number": "662-528-5106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 WILKINS WISE RD",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397051756",
"telephone_number": "662-570-1819",
"fax_number": "662-528-5106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-12",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "MS",
"license": "MRT-1123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.