Mark A Talley, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

17819 Issued in TN

Practice address

210 25TH Ave N Ste 602
Nashville, TN 37203

Phone

(615) 312-1479

Fax

(615) 320-3259

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Associates in Diagnostic Radiology Inc

  • Diagnostic Radiology Physician
  • Chattanooga, TN
  • NPI 1437119328
  Medicare reassignment NPD

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1235164468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N STE 602",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031631",
            "telephone_number": "615-312-1479",
            "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 602",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37203",
            "telephone_number": "615-312-1479",
            "fax_number": "615-320-3259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 Gunbarrel Rd",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374213127",
            "country_code": "US",
            "telephone_number": "423-553-1220",
            "fax_number": "423-553-1231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1710 Gunbarrel Rd",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374213127",
            "country_code": "US",
            "telephone_number": "423-553-1220",
            "fax_number": "423-553-1231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "17819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE-ADR",
            "identifier": "300050345",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE-CI",
            "identifier": "300063281",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADR BC/BS OF TN",
            "identifier": "3029755",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3036089",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009932806",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLAZA BC/BS OF TN",
            "identifier": "3049719",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000674561",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Talisa'S Hair Clinic
• Talking With Dr. Toy P.C.
• Anne Forrest Tallent, M.S.
• Talley Boarding Home
• James Bradford Talley
• Paul Alexis Talley, M.D.
• Rae Danielle Talley, FNP
• Raqresha Talley, LPC-MHSP,NCC,CAMSII
• Olga Tallier, P.A.
• Allison Tallman, MS RDN CNSC LDN

• Diagnostic Radiology Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Diagnostic Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.