Active NPI
Madison Radiological Group LLC
- Specialist
- Madison, MS
National Provider Identifier
1083762140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- MADISON RADIOLOGICAL GROUP LLC
- Practice address
- 401 Baptist Drive
Suite 105
Madison, MS 39110 - Phone
- (601) 354-4327
- NPI assigned
- Jan 8, 2007
- Last updated
- Aug 22, 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
- Danny Smith
- Title
- Office Manager
- Phone
- (601) 354-4327
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
401 Baptist Drive
Suite 105
Madison, MS 39110
Mailing address
401 Baptist Drive
Suite 105
Madison, MS 39110
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
401 Baptist Dr
Ste 105
Madison, MS 39110
Phone (601) 499-2010
Practitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083762140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 BAPTIST DRIVE",
"address_2": "SUITE 105",
"city": "MADISON",
"state": "MS",
"postal_code": "39110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BAPTIST DRIVE",
"address_2": "SUITE 105",
"city": "MADISON",
"state": "MS",
"postal_code": "39110",
"telephone_number": "601-354-4327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADISON RADIOLOGICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DANNY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "601-354-4327"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, MS
- Madison Neurosurgery, PLLC
- Madison OB/GYN Associates LLC
- Madison Pain Management, PLLC
- Madison Pediatric Dental Group, PLLC
- Madison Professional Eyecare Associates, Inc
- Madison Spine Surgery Center, LLC
- Madison Surgicare Center, PLLC
- Magnolia Pediatric Therapy, LLC
- Mary Majette, M.S., CCC-SLP
- John Michael Manning Jr., M.D.
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.