Individual provider Active NPI

Amy Frazier

  • Radiologic Technologist
  • Columbus, MS
National Provider Identifier
1013877224
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
MRT-1123 Issued in MS
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MRT-1123MSMDRadiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wave Diagnostics LLC Radiologic Technologist CurrentSince Nov 18, 2025 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.

Verify at the official NPI Registry.