Jackson Radiology Assoc, PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

JACKSON RADIOLOGY ASSOC, PA

Practice address

1860 Chadwick Dr
Ste 204
Jackson, MS 39204-3463

Phone

(601) 373-6441

Fax

(601) 373-5715

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Amy C Still

Title

Office Manager

Phone

(601) 373-6441

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Graeber, M.D.

  • Diagnostic Radiology Physician
  • Jackson, MS
  • NPI 1447451349

  Diagnostic Radiology

  NPD (past)
• David B Morgan, M.D.

  • Diagnostic Radiology Physician
  • Columbus, MS
  • NPI 1730187345

  Diagnostic Radiology

  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1043341902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 CHADWICK DR",
            "address_2": "STE 204",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043463",
            "telephone_number": "601-373-6441",
            "fax_number": "601-373-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 CHADWICK DR",
            "address_2": "STE 204",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043463",
            "telephone_number": "601-373-6441",
            "fax_number": "601-373-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON RADIOLOGY ASSOC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "STILL",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-373-6441",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09011188",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "C00236",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB8434",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackson Public Schools Lester Clinic
• Jackson Public Schools McWillie Clinic
• Jackson Public Schools Northwest Clinic
• Jackson Public Schools Timberlawn Clinic
• Jackson Pulmonary Associates, PA
• Jackson Rehab and Wellness Center
• Jackson State University
• Jackson State University
• Jackson Surgical Group PA
• Jackson Thyroid & Endocrine Clinic PLLC

• All providers in Jackson, MS
• Diagnostic Radiology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.