Individual provider Active NPI

Josiah David Magnusson

  • Nuclear Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1194227504
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
ME156921 Issued in FL
Practice address
3680 Broadway
Fort Myers, FL 33901-8005
Phone
(239) 936-2316
Fax
(239) 834-6106
NPI assigned
Mar 1, 2018
Last updated
Apr 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 74006-20 WI
Student in an Organized Health Care Education/Training Program 390200000X
Nuclear Medicine Physician 207U00000X ME156921 FL Primary

Addresses

Primary practice location

3680 Broadway
Fort Myers, FL 33901-8005

Mailing address

3660 Broadway
Fort Myers, FL 33901-8005
Phone (239) 936-2316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240515003844 TN Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 5496080475 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

1840 Medical Ctr Pkwy
Suite 100
Murfreesboro, TN 37129-3237
Phone (615) 890-5858

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000

4488 Carothers Pkwy
Suite 110
Franklin, TN 37067-6581
Phone (615) 721-0935

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lebanon Pet Scan Center, LLC CurrentSince Jan 1, 2024 Accepting new patients
Adi Radiology PC CurrentSince Oct 13, 2025 Accepting new patients
Tennessee Pet Scan Center, LLC CurrentSince Jan 1, 2024 Accepting new patients
Imaging Alliance Nashville Pet LLC CurrentSince Jan 1, 2024 Accepting new patients
Tennessee Oncology PLLC CurrentSince Dec 20, 2024 Accepting new patients
Radiology Alliance PC CurrentSince Apr 28, 2024 Accepting new patients
Tennessee Oncology, PLLC CurrentSince Dec 20, 2024 Accepting new patients
Tennessee Oncology,PLLC Past Accepting new patients

Locations (25 of 29)

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

1000 Health Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 886-4910

1032 McCallie Ave
Ste 200
Chattanooga, TN 37403
Phone (423) 693-2400

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

101 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

107 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

3310 Aspen Grove Dr
Ste 203
Franklin, TN 37067
Phone (615) 771-8274

4488 Carothers Pkwy
Ste 110
Franklin, TN 37067
Phone (615) 320-7387

1160 Forest Retreat Rd
Hendersonville, TN 37075
Phone (615) 338-2000

201 N Anderson Ln
Ste 100LAN
Hendersonvlle, TN 37075

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541

103 Physicians Way
Ste 100
Lebanon, TN 37090
Phone (615) 443-7436

500 Hospital Dr
Madison, TN 37115
Phone (615) 865-0300

1840 Medical Center Pkwy
Ste 100
Murfreesboro, TN 37129
Phone (615) 848-0488

1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100

28 White Bridge Pike
Ste 104
Nashville, TN 37205

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

330 23rd Ave N
Ste 200
Nashville, TN 37203

391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253

322 22nd Ave N
Ste 140
Nashville, TN 37203
Phone (615) 320-5090

3441 Dickerson Pike
Nashville, TN 37207
Phone (615) 234-6426

2221 Murphy Ave
Nashville, TN 37203
Phone (615) 342-4660

2018 Murphy Ave
Ste 200
Nashville, TN 37203
Phone (615) 320-7387

210 25th Ave N
Ste 1204
Nashville, TN 37203
Phone (615) 312-1479

Networks

  • Freedom Health HMO Network

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1194227504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 BROADWAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018005",
            "telephone_number": "239-936-2316",
            "fax_number": "239-834-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 BROADWAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018005",
            "telephone_number": "239-936-2316",
            "fax_number": "239-834-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUSSON",
        "first_name": "JOSIAH",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-01",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "WI",
            "license": "74006-20",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "FL",
            "license": "ME156921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.