Organization Active NPI

Nantahala Radiology Associates PA

  • Specialist
  • Franklin, NC
National Provider Identifier
1184645186
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
38723 Issued in NC
Legal business name
NANTAHALA RADIOLOGY ASSOCIATES PA
Practice address
Riverview & White Oak
Franklin, NC 28734
Phone
(828) 524-3121
Fax
(828) 524-3121
NPI assigned
Jul 22, 2006
Last updated
Dec 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Scott M Petty, MD
Title
President
Phone
(828) 524-3121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 38723 NC Primary

Addresses

Primary practice location

Riverview & White Oak
Franklin, NC 28734

Mailing address

174 Church Street
Franklin, NC 28734-5230
Phone (828) 524-3121

Other identifiers 1

IdentifierTypeStateIssuer
8902271MedicaidNC

National Provider Directory

National Provider Directory

Locations

174 Church St
Franklin, NC 28734

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1184645186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 CHURCH STREET",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287345230",
            "telephone_number": "828-524-3121",
            "fax_number": "828-524-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RIVERVIEW & WHITE OAK",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "28734",
            "telephone_number": "828-524-3121",
            "fax_number": "828-524-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANTAHALA RADIOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-524-3121",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "38723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902271",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.