NPIMap

Organization Active NPI

Spring Hill Imaging Center LLC

  • Radiology Clinic/Center
  • Spring Hill, TN
National Provider Identifier
1073692158
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
ODC0000000028 Issued in TN
Legal business name
SPRING HILL IMAGING CENTER LLC
Practice address
5421 Main St
Suite C
Spring Hill, TN 37174-2499
Phone
(931) 486-3425
Fax
(931) 489-5844
NPI assigned
Nov 2, 2006
Last updated
May 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Dr. William W Brewer, MDNPI 1649292160
Title
Medical Director
Phone
(931) 388-1286

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X ODC0000000028 TN Primary

Addresses

Primary practice location

5421 Main St
Suite C
Spring Hill, TN 37174-2499

Mailing address

P O Box 1558
Spring Hill Imaging Center LLC
Columbia, TN 38402-1558
Phone (931) 388-1286

Other identifiers 1

IdentifierTypeStateIssuer
3736801MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070312000369 TN Part B Supplier - Clinic/Group Practice 3577666536 Receives reassigned benefits from 19 practitioners
Practice locations: Spring Hill, TN

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2080512Spring Hill Imaging Center, LLC5421 Main Street, Suite C, Spring Hill, TN 37174Certificate of waiverJul 8, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1073692158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1558",
            "address_2": "SPRING HILL IMAGING CENTER LLC",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384021558",
            "telephone_number": "931-388-1286",
            "fax_number": "931-388-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 MAIN ST",
            "address_2": "SUITE C",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371742499",
            "telephone_number": "931-486-3425",
            "fax_number": "931-489-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING HILL IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "931-388-1286",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TN",
            "license": "ODC0000000028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3736801",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.