Cahaba Valley Imaging, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

17189 Issued in AL

Legal business name

CAHABA VALLEY IMAGING, LLC

Practice address

201 Racquet Club Lane
Pelham, AL 35124

Phone

(205) 418-1212

Fax

(205) 418-1214

NPI assigned

Jan 28, 2010

Last updated

Jan 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Michael Mead, M.D.NPI 1205833761

Title

President

Phone

(205) 823-0882

Specialties & licenses 6

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Michael Mead, MD

  • Diagnostic Radiology Physician
  • Vestavia Hills, AL
  • NPI 1205833761
  Medicare reassignment Care Compare group NPD Authorized official
• Bryan E Billions, MD

  • Diagnostic Radiology Physician
  • Birmingham, AL
  • NPI 1033114228
  Medicare reassignment Care Compare group NPD
• Wilton Russell Holman III, MD

  • Diagnostic Radiology Physician
  • Birmingham, AL
  • NPI 1750386942
  Medicare reassignment Care Compare group NPD
• Robert Desha Hines IV, M.D.

  • Body Imaging Physician
  • Birmingham, AL
  • NPI 1396900197
  Medicare reassignment Care Compare group
• Sandra B Martin, MD

  • Specialist
  • Sylacauga, AL
  • NPI 1043215114
  Medicare reassignment Care Compare group
• Jill Arnita Rutherford, M.D.

  • Diagnostic Radiology Physician
  • Birmingham, AL
  • NPI 1497718860
  Medicare reassignment Care Compare group
• David Dean Thornton, MD

  • Diagnostic Radiology Physician
  • Hoover, AL
  • NPI 1821052424
  Medicare reassignment Care Compare group
• Jonathan Wesley Walter, MD

  • Diagnostic Radiology Physician
  • Hoover, AL
  • NPI 1952515942
  Medicare reassignment Care Compare group
• William Henry Gallmann IV, M.D.

  • Diagnostic Radiology Physician
  • Birmingham, AL
  • NPI 1033436860
  Medicare reassignment NPD
• Allen B. Groves, M.D.

  • Diagnostic Radiology Physician
  • Birmingham, AL
  • NPI 1871625178
  Medicare reassignment NPD
• Louis William Lucas, MD

  • Vascular & Interventional Radiology Physician
  • Birmingham, AL
  • NPI 1346465549

  Diagnostic Radiology

  Medicare reassignment NPD
• Laura Skelton Smith, M.D.

  • Diagnostic Radiology Physician
  • Birmingham, AL
  • NPI 1588009104
  Medicare reassignment NPD

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1215268446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 MONTGOMERY HWY",
            "address_2": "SUITE 101",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161862",
            "telephone_number": "205-418-1212",
            "fax_number": "205-418-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RACQUET CLUB LANE",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "35124",
            "telephone_number": "205-418-1212",
            "fax_number": "205-418-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAHABA VALLEY IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "MEAD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-823-0882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "AL",
            "license": "17189",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "AL",
            "license": "17189",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "17189",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AL",
            "license": "17189",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "AL",
            "license": "17189",
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "AL",
            "license": "17189",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI - SANDRA BALK MARTIN, MD",
            "identifier": "1043215114",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI - CHARLES MICHAEL MEAD, MD",
            "identifier": "1205833761",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI - PHILLIP ARTHUR TRIANTOS, MD",
            "identifier": "1104821297",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tykesha Porsha Burrell, LICSW
• Holly Bush, OTR
• Cadence Chiropractic LLC (Cadence Chiropractic)
• Marilyn T Caffey
• Cahaba Family Medicine, P.C.
• Faith Denise Caldwell, DC
• Amanda Christen Calloway, CRNP
• Charles Benton Campbell
• Capstone Medical Solutions
• Samuel Evan Carstensen, M.D.

• Diagnostic Radiology Physician in Pelham, AL
• Providers in Pelham, AL by specialty
• Diagnostic Radiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.