Shades Mountain Imaging PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SHADES MOUNTAIN IMAGING PC

Practice address

502 Montgomery Hwy
Ste 101
Vestavia Hills, AL 35216-1862

Phone

(205) 823-0882

Fax

(205) 823-0872

NPI assigned

Jun 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles Michael Mead, MDNPI 1205833761

Title

President

Phone

(205) 823-0882

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 20

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.

• Charles Michael Mead, MD

  • Diagnostic Radiology Physician
  • Vestavia Hills, AL
  • NPI 1205833761
  Medicare reassignment Care Compare group NPD Authorized official
• Bryan E Billions, MD

  • Diagnostic Radiology Physician
  • Birmingham, AL
  • NPI 1033114228
  Medicare reassignment Care Compare group NPD
• Wilton Russell Holman III, MD

  • Diagnostic Radiology Physician
  • Birmingham, AL
  • NPI 1750386942
  Medicare reassignment Care Compare group NPD
• Wilkes Banks Petrey, M.D.

  • Diagnostic Radiology Physician
  • Hoover, AL
  • NPI 1861673881
  Medicare reassignment Care Compare group NPD
• Sandra B Martin, MD

  • Specialist
  • Sylacauga, AL
  • NPI 1043215114
  Medicare reassignment Care Compare group
• David Dean Thornton, MD

  • Diagnostic Radiology Physician
  • Hoover, AL
  • NPI 1821052424
  Medicare reassignment Care Compare group
• Allen B. Groves, M.D.

  • Diagnostic Radiology Physician
  • Birmingham, AL
  • NPI 1871625178
  Medicare reassignment NPD
• Louis William Lucas, MD

  • Vascular & Interventional Radiology Physician
  • Birmingham, AL
  • NPI 1346465549

  Diagnostic Radiology

  Medicare reassignment NPD
• Laura Skelton Smith, M.D.

  • Diagnostic Radiology Physician
  • Birmingham, AL
  • NPI 1588009104
  Medicare reassignment NPD
• Jeremy Ferris, M.D.

  • Diagnostic Radiology Physician
  • Columbus, GA
  • NPI 1679647267

  AL

  Medicare reassignment NPD
• Robert Desha Hines IV, M.D.

  • Body Imaging Physician
  • Birmingham, AL
  • NPI 1396900197
  Medicare reassignment
• Jill Arnita Rutherford, M.D.

  • Diagnostic Radiology Physician
  • Birmingham, AL
  • NPI 1497718860
  Medicare reassignment

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033157185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000A SOUTHBRIDGE PKWY",
            "address_2": "STE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097704",
            "telephone_number": "205-871-4274",
            "fax_number": "205-871-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MONTGOMERY HWY",
            "address_2": "STE 101",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161862",
            "telephone_number": "205-823-0882",
            "fax_number": "205-823-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADES MOUNTAIN IMAGING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEAD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-823-0882",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Knapp Counseling LLC
• Anita Saxena, O.D.
• Amy Kathleen Self, LMT
• Felicia Smith Self
• Meredith Shadden
• Kiersten Sharpe, RBT
• Whitney Nicole Shelton
• Mengyi Shi, DMD
• Jessica Shipman
• William Bradley Shirah, MD

• Diagnostic Radiology Physician in Vestavia Hills, AL
• Providers in Vestavia Hills, AL by specialty
• Diagnostic Radiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.