Individual provider Active NPI

Jason Tucker Snyder, M.D.

  • Diagnostic Radiology Physician
  • Charleston, SC
National Provider Identifier
1235164724
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
27466 Issued in SC
Practice address
171 Ashley Ave
Charleston, SC 29425-8908
Phone
(843) 792-1414
NPI assigned
Jul 12, 2006
Last updated
Feb 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 24169 AL
Diagnostic Radiology Physician 2085R0202X 055309 GA
Diagnostic Radiology Physician 2085R0202X 27466 SC Primary

Addresses

Primary practice location

171 Ashley Ave
Charleston, SC 29425-8908

Mailing address

PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200

Other practice location 1

801 Austin Drive
Demorest, GA 30535-4513
Phone (770) 535-9391

Other practice location 2

835 Austin Drive
Demorest, GA 30535-4513
Phone (770) 535-9391

Other practice location 3

1270 Friendship Rd
Braselton, GA 30517-5608
Phone (770) 535-9391

Other practice location 4

725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone (770) 535-9391

Other practice location 5

655 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3854
Phone (770) 535-9391

Other identifiers 6

IdentifierTypeStateIssuer
479413320FMedicaidGA
479413320BMedicaidGA
479413320GMedicaidGA
479413320AMedicaidGA
479413320CMedicaidGA
479413320EMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 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
I20050520000088 GA Practitioner - Diagnostic Radiology 0143284521 Reassigns benefits to 4 organizations
I20121029000433 SC Practitioner - Diagnostic Radiology 0143284521 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Mercer University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Radiology Associates LLCGroup PAC ID 5799706032, shared by 2 NPIs, 92 clinicians
The Longstreet Clinic, PCGroup PAC ID 2668465733, 140 clinicians
Northeast Georgia Community Physicians LLCGroup PAC ID 3274010582, 129 clinicians

Practice addresses (Care Compare)

1 Meadows Pkwy
Vidalia, GA 30474-8759
Phone (786) 621-3900

1000 Medical Ctr Dr
Hardeeville, SC 29927-3446
Phone (843) 784-8000

1270 Friendship Rd
Braselton, GA 30517-5608
Phone (770) 533-6511

136 Traders Way
Pooler, GA 31322-4035
Phone (786) 621-3900

15 Moss Creek VLG
Hilton Head Island, SC 29926-1105
Phone (843) 836-7000

25 Hospital Ctr Blvd
Hilton Head, SC 29926-2738
Phone (843) 681-6122

459 Hwy 119 S
Springfield, GA 31329-3021
Phone (912) 754-0182

462 E G Miles Pkwy
Hinesville, GA 31313-4000
Phone (912) 369-9400

60 Society St
Charleston, SC 29401-1619
Phone (770) 219-9000

725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone (770) 297-5700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.1 of 100Reported as group
Quality
87.6
Promoting interoperability
100
Improvement activities
40
Cost
76.07

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

State licenses

LicenseStateTypeSpecialty
24169ALMDDiagnostic Radiology Physician
055309GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Radiology Associates, LLC Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
The Longstreet Clinic PC CurrentSince Apr 1, 2022 Accepting new patients
Carolina Family Care, Inc CurrentSince Oct 15, 2012 Accepting new patients
Atlantic Radiology Associates, LLC Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Carolina Family Care, Inc CurrentSince Oct 15, 2012 Accepting new patients
The Longstreet Clinic, PC CurrentSince Apr 1, 2022 Accepting new patients
Northeast Georgia Community Physicians LLC CurrentSince Feb 1, 2026 Accepting new patients
Atlantic Radiology Associates LLC Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Sumter Regional Medical Group, PC Past Accepting new patients
Americus & Sumter County Hospital Authority Past Accepting new patients
Radiology & Medical Imagery of Newnan, PC Diagnostic Radiology PastSince Sep 30, 2012 Accepting new patients
Papp Clinic Laboratory Past Accepting new patients

Locations

1270 Friendship Rd
Braselton, GA 30517
Phone (678) 207-4200

801 Austin Dr
Demorest, GA 30535
Phone (706) 754-8066

835 Austin Dr
Demorest, GA 30535
Phone (706) 754-8518

655 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 535-9391

725 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 297-2200

462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068

136 Traders Way
Pooler, GA 31322
Phone (786) 621-3900

341 Eisenhower Dr
Savannah, GA 31406
Phone (912) 330-5170

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

1000 Medical Center Dr
Hardeeville, SC 29927
Phone (843) 784-8138

15 Moss Creek Vlg
Hilton Head Island, SC 29926
Phone (843) 681-5077

25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

Organizations & group practices 13

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.

View all 13

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1235164724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751461",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751461",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ASHLEY AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258908",
            "telephone_number": "843-792-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Austin Drive",
            "address_purpose": "LOCATION",
            "city": "Demorest",
            "state": "GA",
            "postal_code": "305354513",
            "country_code": "US",
            "telephone_number": "770-535-9391",
            "fax_number": "770-533-4701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "835 Austin Drive",
            "address_purpose": "LOCATION",
            "city": "Demorest",
            "state": "GA",
            "postal_code": "305354513",
            "country_code": "US",
            "telephone_number": "770-535-9391",
            "fax_number": "770-533-4701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1270 Friendship Rd",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305175608",
            "country_code": "US",
            "telephone_number": "770-535-9391",
            "fax_number": "770-533-4701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 Jesse Jewell Pkwy SE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013834",
            "country_code": "US",
            "telephone_number": "770-535-9391",
            "fax_number": "770-533-4701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 Jesse Jewell Pkwy SE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013854",
            "country_code": "US",
            "telephone_number": "770-535-9391",
            "fax_number": "770-533-4701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "JASON",
        "middle_name": "TUCKER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "24169",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "055309",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "27466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "479413320F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "479413320B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "479413320G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "479413320A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "479413320C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "479413320E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.