Richard F Stults, MD

Individual provider Active NPI Diagnostic Radiology Physician · Pulaski, TN

NPI 1023004397 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1023004397
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
MD21311 (TN)
Practice address
1265 E College St
Richard F. Stults, MD
Pulaski, TN 38478
Phone
(931) 381-8492
Fax
(931) 388-7119
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD21311TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Radiology Associates, PLLC Diagnostic Radiology Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD21311 TN Yes

Addresses

Primary practice location

1265 E College St
Richard F. Stults, MD
Pulaski, TN 38478

Mailing address

1265 E College St
Richard F. Stults, MD
Pulaski, TN 38478
Phone (931) 381-8492

Other identifiers

IdentifierTypeStateIssuer
4015072OtherTNBLUE CROSS PROVIDER NUMBE
3063375MedicaidTN

Other providers in Pulaski, TN

All providers in Pulaski, TN · Diagnostic Radiology Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.