Organization Active NPI

Antovia Health LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Jackson, TN
National Provider Identifier
1184529133
Registry record updated Oct 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
ANTOVIA HEALTH LLC
Practice address
118 N Liberty St
Jackson, TN 38301-6221
Phone
(731) 224-2877
NPI assigned
Oct 10, 2026
Last updated
Oct 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2026

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

Authorized official

Name
Shanika R Brown, CPT, CCMA
Title
Managing Member
Phone
(731) 267-2123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X NU Primary

Addresses

Primary practice location

118 N Liberty St
Jackson, TN 38301-6221

Mailing address

118 N Liberty St
Jackson, TN 38301-6221
Phone (731) 224-2877

NPI Registry JSON

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

{
    "created_epoch": "1791590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791590400000",
    "number": "1184529133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N LIBERTY ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383016221",
            "telephone_number": "731-224-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N LIBERTY ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383016221",
            "telephone_number": "731-224-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTOVIA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-10",
        "last_updated": "2026-10-10",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHANIKA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "731-267-2123",
        "authorized_official_credential": "CPT, CCMA"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.