Individual provider Active NPI

James M. Stallworth, M.D.

  • Diagnostic Radiology Physician
  • Nashville, TN
National Provider Identifier
1205813573
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD26677 Issued in TN
Practice address
210 25TH Ave N Ste 1204
Nashville, TN 37203-1620
Phone
(615) 312-0600
Fax
(615) 320-3259
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD26677 TN Primary

Addresses

Primary practice location

210 25TH Ave N Ste 1204
Nashville, TN 37203-1620

Mailing address

210 25TH Ave N Ste 1204
Nashville, TN 37203-1620
Phone (615) 312-0600

Other identifiers 2

IdentifierTypeStateIssuer
3093494MedicaidTN
7100511140MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101215000068 TN Practitioner - Diagnostic Radiology 5294759486 Reassigns benefits to 2 organizations
I20171215000694 KY Practitioner - Diagnostic Radiology 5294759486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tulane University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Adi Radiology PCGroup PAC ID 7911236427, 153 clinicians

Practice addresses (Care Compare)

1801 Ashley Cir
Bowling Green, KY 42104-3362
Phone (615) 312-0600

210 25TH Ave N
Suite 1204
Nashville, TN 37203-1620
Phone (615) 312-0600

28 White Bridge Rd
Nashville, TN 37205-1466
Phone (615) 356-3999

6 Cochise CT
Crossville, TN 38572-6343
Phone (615) 312-0600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD26677TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Aug 1, 2017 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Radiology Alliance CT Diagnostic Radiology Past Accepting new patients

Locations

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

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

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

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

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

201 N Anderson Ln
Ste 100LAN
Hendersonvlle, TN 37075

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

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

330 23rd Ave N
Ste 200
Nashville, TN 37203

2221 Murphy Ave
Nashville, TN 37203
Phone (615) 324-2192

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

28 White Bridge Pike
Ste 104
Nashville, TN 37205

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

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

210 25th Ave N
Ste 602
Nashville, TN 37203
Phone (615) 312-0604

2201 Murphy Ave
Nashville, TN 37203
Phone (615) 342-4660

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

105 Redbud Dr
Portland, TN 37148
Phone (615) 325-1215

200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000

451 Highway 13 S
Waverly, TN 37185
Phone (931) 296-0211

Organizations & group practices 3

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

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1205813573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N STE 1204",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031620",
            "telephone_number": "615-312-0600",
            "fax_number": "615-320-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N STE 1204",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031620",
            "telephone_number": "615-312-0600",
            "fax_number": "615-320-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLWORTH",
        "first_name": "JAMES",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "MD26677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3093494",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100511140",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.