Active NPI
Open MRI Jackson Radiology PLLC
- Diagnostic Radiology Physician
- Flowood, MS
National Provider Identifier
1154874600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- OPEN MRI JACKSON RADIOLOGY PLLC
- Practice address
- 120 Stone Creek Blvd
Suite 900
Flowood, MS 39232-8205 - Phone
- (601) 936-6500
- Fax
- (601) 936-2027
- NPI assigned
- Aug 2, 2016
- 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
- Ross Barnett, M.D.
- Title
- Owner
- Phone
- (601) 936-6500
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
120 Stone Creek Blvd
Suite 900
Flowood, MS 39232-8205
Mailing address
PO Box 242848
Montgomery, AL 36124-2848
Phone (334) 270-9914
Other names 1
- Open MRI of Jackson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2126460 | Open MRI Jackson Radiology PLLC | Certificate of waiver | Feb 27, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470096000000",
"number": "1154874600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 242848",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361242848",
"telephone_number": "334-270-9914",
"fax_number": "334-270-3195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 STONE CREEK BLVD",
"address_2": "SUITE 900",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392328205",
"telephone_number": "601-936-6500",
"fax_number": "601-936-2027"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPEN MRI JACKSON RADIOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-02",
"last_updated": "2016-08-02",
"status": "A",
"authorized_official_last_name": "BARNETT",
"authorized_official_first_name": "ROSS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-936-6500",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Open MRI of Jackson",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.