Imaging Center of Columbus, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

IMAGING CENTER OF COLUMBUS, LLC

Practice address

2526 5TH St N
Columbus, MS 39705-2019

Phone

(662) 328-8402

Fax

(662) 328-1554

NPI assigned

Jul 15, 2005

Organization subpart

No

Name

Mr. Patrick G. Howard

Title

Managing Member

Phone

(337) 291-9161

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

• Baptist Memorial Hospital - Golden Triangle Inc.

  • General Acute Care Hospital
  • Columbus, MS
  • NPI 1609830173

  Member Of

  NPD member

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

• Kathryn M. Nutter, M.D.

  • Diagnostic Radiology Physician
  • Natchez, MS
  • NPI 1881615573
  NPD
• Keith Perry Russell, M.D.

  • Diagnostic Radiology Physician
  • New Albany, MS
  • NPI 1326335886
  NPD
• James Barton Williams, MD

  • Cardiovascular Disease Physician
  • Columbus, MS
  • NPI 1780657056
  NPD
• Rodney W. Burns Jr., MD

  • Diagnostic Radiology Physician
  • Lafayette, LA
  • NPI 1164419370
  NPD
• Stephanie D. Casey, M.D., M.P.H.

  • Diagnostic Radiology Physician
  • New Orleans, LA
  • NPI 1508870783
  NPD
• John Pasteur Hamide, MD

  • Vascular & Interventional Radiology Physician
  • Chalmette, LA
  • NPI 1255353033
  NPD
• Bruce R. Knox, M.D.

  • Diagnostic Radiology Physician
  • Lake Charles, LA
  • NPI 1477509743
  NPD
• Bernard Aldrich Landry, M.D.

  • Diagnostic Radiology Physician
  • Cincinnati, OH
  • NPI 1871584714
  NPD
• Victor A McCoy, MD

  • Neuroradiology Physician
  • Baton Rouge, LA
  • NPI 1871582981
  NPD
• Jeffrey Ryan O'Rear, M.D.

  • Diagnostic Radiology Physician
  • Roanoke, VA
  • NPI 1780876649
  NPD
• Raul E. Paraliticci, MD

  • Diagnostic Radiology Physician
  • Woodstock, GA
  • NPI 1174575336
  NPD
• Louis Schruff Jr., M.D.

  • Diagnostic Radiology Physician
  • MC Lean, VA
  • NPI 1568495935
  NPD

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

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 3, 2015.

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1083613699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2526 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052019",
            "telephone_number": "662-328-8402",
            "fax_number": "662-328-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052019",
            "telephone_number": "662-328-8402",
            "fax_number": "662-328-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING CENTER OF COLUMBUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "337-291-9161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009986505",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06325773",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Hurst, RPH
• James Albert Hurt III, M.D.
• James Andrew Hutchins, DPT
• Hydeco LLC
• Christopher Lane Hynum, D.M.D.
• Infinity Enterprise LLC
• Macarthur Inge
• Innovative Prosthetic Designs LLC
• Innovative Prosthetic Designs,LLC
• Integrity Drug Screening LLC

• All providers in Columbus, MS
• Physiological Laboratory in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.