Individual provider Active NPI

John J Nisbet, MD

  • Diagnostic Radiology Physician
  • Goodlettsville, TN
National Provider Identifier
1033109285
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
58000 Issued in TN
Practice address
3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone
(615) 851-6033
Fax
(615) 234-1502
NPI assigned
Oct 27, 2005
Last updated
Mar 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 58000 TN Primary
Diagnostic Radiology Physician 2085R0202X K2364 TX

Addresses

Primary practice location

3024 Business Park Cir
Goodlettsville, TN 37072-3132

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033

Other practice location 1

12951 South Fwy
Houston, TX 77047-1923
Phone (713) 526-5771

Other identifiers 3

IdentifierTypeStateIssuer
044653605MedicaidTX
044653607MedicaidTX
Q044114MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20100203000634 TX Practitioner - Diagnostic Radiology 6901949627 Reassigns benefits to 1 organization
I20181114000300 TN Practitioner - Diagnostic Radiology 6901949627 Reassigns benefits to 16 organizations
I20200929003289 GA Practitioner - Diagnostic Radiology 6901949627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Baylor College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Radiological AssociationGroup PAC ID 4880686179, 126 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Ara/St. David's Imaging, LPGroup PAC ID 8426001496, shared by 4 NPIs, 11 clinicians

Practice addresses (Care Compare)

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

4423 Wayland Dr
Nashville, TN 37215-4023
Phone (512) 795-5100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58000TNMDDiagnostic Radiology Physician
K2364TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Austin Radiological Association CurrentSince Apr 1, 2023 Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince Jan 20, 2022 Accepting new patients
Advanced Diagnostic Imaging, PC Diagnostic Radiology CurrentSince Nov 19, 2018 Accepting new patients
Coastal Radiology Associates, PLLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Jun 2, 2021 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Apr 3, 2023 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince May 14, 2020 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince May 6, 2024 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Apr 3, 2023 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Oct 29, 2020 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Jun 25, 2020 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Apr 3, 2023 Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Jul 14, 2021 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Specialists in Medical Imaging SC Diagnostic Radiology CurrentSince Oct 23, 2020 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Apr 3, 2023 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Nov 19, 2018 Accepting new patients
Houston Northwest Radiology Assn Diagnostic Radiology PastSince Mar 13, 2022 Accepting new patients
CHS Physician Partners, P.C Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
K. Brian Walton, MD, PLC Past Accepting new patients
Wisconsin Radiology Specialists, S C Past Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology Past Accepting new patients
University Health Services Past Accepting new patients
Radiology Associates of Canton, Inc. Diagnostic Radiology Past Accepting new patients
Village Chiropractic and Wellness P.L.L.C. Past Accepting new patients

Locations (25 of 38)

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

100 Frist Ct
Ste B
Columbus, GA 31909

1831 5th Ave
Ste B
Columbus, GA 31904

710 Center St
Ste B
Columbus, GA 31901

640 W Washington St
Pittsfield, IL 62363
Phone (217) 285-2113

4011 S Monroe Medical Park Blvd
Bloomington, IN 47403
Phone (812) 825-5777

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

3425 North Blvd
Ste A
Alexandria, LA 71301
Phone (318) 473-1921

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

2200 Northern Blvd
Ste 118
Greenvale, NY 11548
Phone (516) 563-7910

510 Hicksville Rd
Massapequa, NY 11758
Phone (516) 729-2626

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

1210 Briarville Rd
Bldg F602
Madison, TN 37115
Phone (615) 773-7237

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

28 White Bridge Pike
Ste 104
Nashville, TN 37205

28 White Bridge Pike
Ste 111
Nashville, TN 37205
Phone (615) 986-6153

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

11714 Wilson Parke Ave
Ste 175
Austin, TX 78726
Phone (512) 519-3457

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

1301 Barbara Jordan Blvd
Ste 104
Austin, TX 78723
Phone (512) 480-0761

1301 W 38th St
Ste 118
Austin, TX 78705
Phone (512) 454-7380

1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737

1701 W Ben White Blvd
Ste 170
Austin, TX 78704
Phone (512) 428-9090

2501 W William Cannon Dr
Bldg 5
Austin, TX 78745
Phone (512) 346-7311

Organizations & group practices 29

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.

View all 29

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1033109285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-851-6033",
            "fax_number": "615-851-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-851-6033",
            "fax_number": "615-234-1502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12951 South Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770471923",
            "country_code": "US",
            "telephone_number": "713-526-5771",
            "fax_number": "713-526-2036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NISBET",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "58000",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K2364",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044653605",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044653607",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q044114",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

Verify at the official NPI Registry.