Central Ms Diagnostics, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

CENTRAL MS DIAGNOSTICS, LLC

Practice address

2630 Courthouse Cir
Flowood, MS 39232-9562

Phone

(601) 487-8274

Fax

(601) 487-8701

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

John P Stagg

Title

Ceo

Phone

(225) 270-7077

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathryn M. Nutter, M.D.

  • Diagnostic Radiology Physician
  • Natchez, MS
  • NPI 1881615573
  NPD
• Bruce R. Knox, M.D.

  • Diagnostic Radiology Physician
  • Lake Charles, LA
  • NPI 1477509743
  NPD
• Dennis Patrick Lindfors, M.D.

  • Diagnostic Radiology Physician
  • Beachwood, OH
  • NPI 1275710295
  NPD
• Victor A McCoy, MD

  • Neuroradiology Physician
  • Baton Rouge, LA
  • NPI 1871582981
  NPD
• Jeffrey Ryan O'Rear, M.D.

  • Diagnostic Radiology Physician
  • Roanoke, VA
  • NPI 1780876649
  NPD
• Samuel Jacob Waits Jr., M.D.

  • Diagnostic Radiology Physician
  • Tuscaloosa, AL
  • NPI 1336187947
  NPD

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1255427464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 VETERANS MEMORIAL BLVD STE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065430",
            "telephone_number": "888-273-3445",
            "fax_number": "504-883-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 COURTHOUSE CIR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329562",
            "telephone_number": "601-487-8274",
            "fax_number": "601-487-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MS DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "STAGG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-270-7077"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125434",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Andrew Joseph Cefalu Jr., D.C.
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• Central Nephrology Clinic PLLC
• CH MSSP Services Ms LLC
• Champion Physical Therapy, LLC
• Quaneshia Chandler

• All providers in Flowood, MS
• Radiology Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.