Individual provider Active NPI

Anderson Webb, MD

  • Diagnostic Radiology Physician
  • Chicago, IL
National Provider Identifier
1285139550
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
125.073519 Issued in IL
Practice address
5841 S Maryland Ave # Mc2026
Chicago, IL 60637
Phone
(773) 702-3550
NPI assigned
Mar 28, 2018
Last updated
Jun 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Diagnostic Radiology Physician 2085R0202X 125.073519 TN
Diagnostic Radiology Physician 2085R0202X 125.073519 IL Primary

Addresses

Primary practice location

5841 S Maryland Ave # Mc2026
Chicago, IL 60637

Mailing address

180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686
Phone (773) 702-1150

Other practice location 1

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 702-1000

Other practice location 2

5841 S Maryland Ave # Mc2026
Chicago, IL 60637
Phone (773) 702-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 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
I20230607003862 TN Practitioner - Diagnostic Radiology 4981939121 Reassigns benefits to 4 organizations
I20250108000758 GA Practitioner - Diagnostic Radiology 4981939121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Georgia Radiology Associates LLCGroup PAC ID 0042389231, 32 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Premier Diagnostic Imaging, LLCGroup PAC ID 4981877784, 3 clinicians

Practice addresses (Care Compare)

11 Main St
Unit 201
Jekyll Island, GA 31527-1064
Phone (912) 225-0938

1702 Carroll LN
Chattanooga, TN 37405-4321
Phone (912) 225-0938

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

315 N Washington Ave
Suite 103
Cookeville, TN 38501-2623
Phone (931) 528-1800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.15 of 100Reported as group
Quality
76.31
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.073519ILMDDiagnostic Radiology Physician
125.073519TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bca Georgia, LLC CurrentSince Nov 22, 2024 Accepting new patients
Premier Diagnostic Imaging, LLC CurrentSince Mar 24, 2023 Accepting new patients
South Georgia Radiology Associates, LLC Diagnostic Radiology CurrentSince Nov 22, 2024 Accepting new patients
Sterling Radiology LLC CurrentSince Jan 1, 2026 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Oct 25, 2025 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
University of Chicago Medical Center Past Accepting new patients

Locations (25 of 57)

172 Mj Taylor Rd
Adel, GA 31620
Phone (229) 896-3424

260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290

2822 Nottingham Way
Ste 3
Albany, GA 31707
Phone (229) 304-5261

611 E Washington Ave
Ashburn, GA 31714
Phone (229) 353-2500

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

100 Highway 18 W
Barnesville, GA 30204
Phone (770) 358-0674

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

277 Lackawanna St
Baxley, GA 31513
Phone (912) 366-1362

950 S Main St
Ste 2
Baxley, GA 31513
Phone (912) 367-2596

19 Doctors Way
Ste A
Blairsville, GA 30512

2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263

902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

200 Fairview Park Dr
Dublin, GA 31021
Phone (478) 272-6150

1120 Indian Dr
Eastman, GA 31023
Phone (478) 354-4220

901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000

101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907

200 Perry House Rd
Fitzgerald, GA 31750
Phone (229) 424-1461

88 Martin Luther King Jr Dr
Forsyth, GA 31029
Phone (419) 994-2521

101 Hartford Rd W
Ste 1
Fort Gaines, GA 39851
Phone (229) 210-2100

260 W Clinton St
Gray, GA 31032
Phone (478) 845-7462

138 N College St
Hamilton, GA 31811
Phone (478) 776-4000

15 Yarbrough St
Hazlehurst, GA 31539
Phone (912) 375-0755

163 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-7781

209 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-3095

Organizations & group practices 8

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.

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": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1285139550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 HARVESTER DR STE 110",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276686",
            "telephone_number": "773-702-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE # MC2026",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60637",
            "telephone_number": "773-702-3550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5841 S Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371443",
            "country_code": "US",
            "telephone_number": "773-702-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5841 S Maryland Ave # Mc2026",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60637",
            "country_code": "US",
            "telephone_number": "773-702-3550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBB",
        "first_name": "ANDERSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-28",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "125.073519",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "125.073519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.