Individual provider Active NPI

Michael James Spellman Jr., M.D.

  • Diagnostic Radiology Physician
  • Goodlettsville, TN
National Provider Identifier
1336188457
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD37553 Issued in TN
Practice address
3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone
(615) 851-6033
Fax
(615) 851-2018
NPI assigned
Jun 5, 2006
Last updated
May 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 37553 TN
Diagnostic Radiology Physician 2085R0202X 2025-00442 NC
Diagnostic Radiology Physician 2085R0202X MD37553 TN Primary

Addresses

Primary practice location

3024 Business Park Cir
Goodlettsville, TN 37072-3132

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033

Other identifiers 14

IdentifierTypeStateIssuer
4062380OtherTNBCBS
PENDINGOtherTNCIGNA
1509317OtherTNMEDICAID - MTI
1509317MedicaidTN
1641017OtherTNUNITED HEALTHCARE OF TN
4201804OtherTNBCBS TN
6406778800MedicaidKY
3884578MedicaidTN
64067788OtherKYKY MEDICAID
P00012845OtherTNRAILROAD MEDICARE
4291381OtherTNBCBS - MTI
4062353OtherTNBCBS
4078470OtherTNBCBS
P00960028OtherTNRR MEDICARE - MTI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA, WI, DC4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20040127001006 TN Practitioner - Diagnostic Radiology 7618870866 Reassigns benefits to 10 organizations
I20060411000132 VA Practitioner - Diagnostic Radiology 7618870866 Reassigns benefits to 1 organization
I20190416003223 WI Practitioner - Diagnostic Radiology 7618870866 Reassigns benefits to 3 organizations
I20190930000913 DC Practitioner - Diagnostic Radiology 7618870866

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Radiology Associates PLLCGroup PAC ID 8729086194, 75 clinicians

Practice addresses (Care Compare)

946 Yearling Way
Nashville, TN 37221-4357
Phone (336) 970-5300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37553TNMDNeuroradiology Physician
2025-00442NCMDDiagnostic Radiology Physician
MD37553TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nol, LLC Diagnostic Radiology CurrentSince Jun 1, 2003 Accepting new patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Mar 25, 2019 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 29, 2025 Accepting new patients
Clarksville Imaging Center LLC Diagnostic Radiology CurrentSince Mar 17, 2018 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Aug 1, 2019 Accepting new patients
Advanced Diagnostic Imaging, PC Diagnostic Radiology CurrentSince Jun 1, 2003 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 23, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 17, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 26, 2025 Accepting new patients
Medical X-Ray Consultants, LTD Neuroradiology CurrentSince Feb 1, 2021 Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Mar 25, 2019 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 17, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 17, 2025 Accepting new patients
Imrad of Virginia PLLC Diagnostic Radiology CurrentSince Aug 5, 2019 Accepting new patients
Wisconsin Radiology Specialists, S C CurrentSince Apr 1, 2019 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 11, 2025 Accepting new patients
Middle Tennessee Imaging, LLC CurrentSince Jan 1, 2019 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 22, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 29, 2025 Accepting new patients
Triad Radiology Associates PLLC Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Middle Tennessee Imaging LLC CurrentSince Jan 1, 2019 Accepting new patients
Radiology Associates of Appleton, S.C. Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 29, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 19, 2025 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Jun 1, 2003 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 23, 2025 Accepting new patients
Middle Tennessee Imaging, LLC CurrentSince Jan 1, 2019 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 22, 2025 Accepting new patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology CurrentSince Jan 20, 2020 Accepting new patients
Middle Tennessee Imaging, LLC CurrentSince Jan 1, 2019 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 26, 2025 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology PastSince Aug 1, 2018 Accepting new patients
Sacred Heart Rehabilitation Institute, Inc. PastSince Jun 21, 2022 Accepting new patients
K. Brian Walton, MD, PLC Past Accepting new patients
Radiology Alliance PC Diagnostic Radiology Past Accepting new patients

Locations (25 of 32)

75 Remittance Dr
Dept 6244
Chicago, IL 60675

789 Old Hickory Blvd
Brentwood, TN 37027
Phone (615) 555-6870

2320 Wilma Rudolph Blvd
Clarksville, TN 37040
Phone (931) 645-1564

2320 Wilma Rudolph Blvd
Ste A
Clarksville, TN 37040
Phone (931) 245-6196

3310 Aspen Grove Dr
Ste 101
Franklin, TN 37067
Phone (615) 771-0171

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

5045 Old Hickory Blvd
Ste 100
Hermitage, TN 37076
Phone (615) 884-7674

101 Physicians Way
Ste 113
Lebanon, TN 37090

1210 Briarville Rd
Bldg F602
Madison, TN 37115
Phone (615) 773-7237

5002 Crossings Cir
Ste 140
Mt Juliet, TN 37122
Phone (615) 773-7237

1840 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 848-0488

1840 Medical Center Pkwy
Ste 101
Murfreesboro, TN 37129
Phone (615) 896-1234

1800 Charlotte Ave
Nashville, TN 37203

2011 Murphy Ave
Ste 301
Nashville, TN 37203

28 White Bridge Pike
Ste 104
Nashville, TN 37205

28 White Bridge Pike
Ste 110
Nashville, TN 37205
Phone (615) 425-0371

28 White Bridge Pike
Ste 111
Nashville, TN 37205
Phone (615) 986-6153

28 White Bridge Pike
Ste 314
Nashville, TN 37205
Phone (615) 986-6040

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

4230 Harding Pike
Ste 220
Nashville, TN 37205
Phone (615) 467-1050

5055 Seminary Rd
Ste 104
Alexandria, VA 22311
Phone (703) 379-0029

8986 Lorton Station Blvd
Lorton, VA 22079
Phone (703) 820-8320

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800

Organizations & group practices 36

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 36

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1336188457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-851-6033",
            "fax_number": "615-851-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-851-6033",
            "fax_number": "615-851-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELLMAN",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TN",
            "license": "37553",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2025-00442",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "MD37553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4062380",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "PENDING",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - MTI",
            "identifier": "1509317",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509317",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE OF TN",
            "identifier": "1641017",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "4201804",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6406778800",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3884578",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY MEDICAID",
            "identifier": "64067788",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00012845",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - MTI",
            "identifier": "4291381",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4062353",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4078470",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE - MTI",
            "identifier": "P00960028",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

Verify at the official NPI Registry.