Active NPI
Premier Radiology, Inc
- Diagnostic Radiology Physician
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- PREMIER RADIOLOGY, INC
- Practice address
- 620 Crossover Road
Tupelo, MS 38801 - Phone
- (662) 620-7101
- NPI assigned
- May 24, 2006
- Last updated
- Jun 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Carlton Howard, MD
- Title
- President
- Phone
- (662) 620-7102
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
620 Crossover Road
Tupelo, MS 38801
Mailing address
620 Crossover Rd
Tupelo, MS 38801-4944
Phone (662) 842-1758
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL, TN, TX, OH, NY
Enrollment records 6
National Provider Directory
National Provider Directory- Tax ID family
- Radiology of Tupelo PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Vascular & Interventional Radiology Physician
- Tupelo, MS
- NPI 1871838490
Locations
4508 Hwy 45 S
Columbus, MS 39701
56 Dutch Ln
Columbus, MS 39702
Phone (662) 329-3808
121 Pratt Dr
Corinth, MS 38834
Phone (662) 286-0088
1202 Office Park Dr
Oxford, MS 38655
Phone (662) 513-0055
353 Mobile St
Saltillo, MS 38866
Phone (662) 869-2122
111 Troy St
Ste F
Tupelo, MS 38804
1665 S Green St
Tupelo, MS 38804
Phone (662) 377-2189
408 Council Cir
Ste A
Tupelo, MS 38801
Phone (662) 377-1130
4376 S Eason Blvd
Tupelo, MS 38801
499 Gloster Creek Vlg
Ste A1
Tupelo, MS 38801
Phone (662) 377-7100
499 Gloster Creek Vlg
Ste A2T
Tupelo, MS 38801
600 W Eason Blvd
Tupelo, MS 38801
618 Pegram Dr
Tupelo, MS 38801
Phone (601) 841-3000
845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025
913 Garfield St
Tupelo, MS 38801
990 S Madison St
Tupelo, MS 38801
Phone (662) 377-4077
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Vascular & Interventional Radiology Physician
- Tupelo, MS
- NPI 1871838490
Practitioners & affiliated clinicians
Practitioners 62
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.
-
- Family Nurse Practitioner
- Tupelo, MS
- NPI 1043648900
-
- Vascular & Interventional Radiology Physician
- Calhoun City, MS
- NPI 1942511456
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592870400000",
"number": "1083669121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 CROSSOVER RD",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014944",
"telephone_number": "662-842-1758",
"fax_number": "662-844-8298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 CROSSOVER ROAD",
"city": "TUPELO",
"state": "MS",
"postal_code": "38801",
"telephone_number": "662-620-7101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER RADIOLOGY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "CARLTON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "662-620-7102",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.