Organization Active NPI

Radiology Clinic

  • Radiology Clinic/Center
  • Columbus, MS
National Provider Identifier
1114174539
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
RADIOLOGY CLINIC
Practice address
2400 Fifth Street North
Columbus, MS 39705-2000
Phone
(662) 328-8404
Fax
(662) 329-4645
NPI assigned
Aug 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Billy L Sullivan, M.D.
Title
Owner
Phone
(662) 328-8404

Specialties & licenses 1

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

Addresses

Primary practice location

2400 Fifth Street North
Columbus, MS 39705-2000

Mailing address

2400 Fifth Street North
Columbus, MS 39705-2000
Phone (662) 328-8404

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1114174539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 FIFTH STREET NORTH",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052000",
            "telephone_number": "662-328-8404",
            "fax_number": "662-329-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 FIFTH STREET NORTH",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052000",
            "telephone_number": "662-328-8404",
            "fax_number": "662-329-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-328-8404",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.