Individual provider Active NPI

Charles Pringle, M.D.

  • Diagnostic Radiology Physician
  • Ridgeland, MS
National Provider Identifier
1356454334
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
14767 Issued in MS
Practice address
113 W Jackson St Ste B
Ridgeland, MS 39157-2402
Phone
(601) 354-4327
Fax
(601) 360-0822
NPI assigned
Aug 16, 2006
Last updated
Oct 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 14767 MS
Diagnostic Radiology Physician 2085R0202X 14767 MS Primary

Addresses

Primary practice location

113 W Jackson St Ste B
Ridgeland, MS 39157-2402

Mailing address

113 W Jackson St Ste B
Ridgeland, MS 39157-2402
Phone (601) 354-4327

Other identifiers 1

IdentifierTypeStateIssuer
0116779MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AR, TN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20090414000552 MS Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 6204936669 Reassigns benefits to 1 organization
I20231204000899 AR Practitioner - Diagnostic Radiology 6204936669 Reassigns benefits to 2 organizations
I20231212002600 TN Practitioner - Diagnostic Radiology 6204936669 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Imaging and Therapeutics, P.a.Group PAC ID 9133106396, 69 clinicians
West Tennessee Imaging LLCGroup PAC ID 3173834215, 37 clinicians

Practice addresses (Care Compare)

4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-0140

7600 Wolf River Blvd
Germantown, TN 38138-1785
Phone (901) 312-4033

7600 Wolf River Blvd
Suite 200
Germantown, TN 38138-1788
Phone (901) 747-1000

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (901) 383-9478

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.5 of 100Reported as group
Quality
85
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14767MSMDSpecialist
24442TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Imaging & Therapeutics, P.a. Specialist CurrentSince Jan 1, 2024 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Nov 17, 2024 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
West Tennessee Imaging, LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Cassidy Bayou Medical Clinic Past Accepting new patients

Locations (25 of 31)

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820

702 Martin Luther King St
#702
Mound Bayou, MS 38762

2776 Highway 51 S
Senatobia, MS 38668

363 Southcrest Cir
Ste 102
Southaven, MS 38671
Phone (662) 772-4615

55 Physicians Ln
Southaven, MS 38671
Phone (662) 655-2136

7420 Guthrie Dr N
Ste 105
Southaven, MS 38671
Phone (716) 435-5044

75 Physicians Ln
Southaven, MS 38671
Phone (662) 393-7722

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

2545 N Washington Ave
Brownsville, TN 38012
Phone (731) 307-3777

670 N Germantown Pkwy
Ste 18
Cordova, TN 38018
Phone (901) 753-7686

8000 Centerview Pkwy
Ste 101
Cordova, TN 38018
Phone (901) 624-2960

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

3493 Veterans Dr N
Ste C
Huntingdon, TN 38344
Phone (731) 668-4455

621 RB Wilson Dr
Huntingdon, TN 38344

200 W Church St
Lexington, TN 38351
Phone (731) 968-1812

205C Hospital Dr
Mc Kenzie, TN 38201
Phone (731) 352-0820

1211 Union Ave
Ste 500
Memphis, TN 38104
Phone (901) 759-3275

1400 S Germantown Rd
Memphis, TN 38138
Phone (901) 759-3111

5220 Park Ave
Ste 100
Memphis, TN 38119
Phone (901) 685-8245

555 Perkins Ext
Ste 100
Memphis, TN 38117

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

6029 Walnut Grove Rd
Ste 210
Memphis, TN 38120
Phone (901) 226-4910

6286 Briarcrest Ave
Ste 308
Memphis, TN 38120
Phone (901) 680-5190

Organizations & group practices 6

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1356454334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W JACKSON ST STE B",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572402",
            "telephone_number": "601-354-4327",
            "fax_number": "601-360-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W JACKSON ST STE B",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572402",
            "telephone_number": "601-354-4327",
            "fax_number": "601-360-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINGLE",
        "first_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "14767",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "14767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116779",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.