NPIMap

Individual provider Active NPI

Kilton D Kingsman, M.D.

  • Diagnostic Radiology Physician
  • Chattanooga, TN
National Provider Identifier
1366424285
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
37645 Issued in MS
Practice address
2525 Desales Ave
Chattanooga, TN 37404-1161
Phone
(423) 495-4430
Fax
(423) 495-6179
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 37645 MS Primary
Diagnostic Radiology Physician 2085R0202X MD0000039035 TN

Addresses

Primary practice location

2525 Desales Ave
Chattanooga, TN 37404-1161

Mailing address

350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (901) 226-4003

Other practice location 1

220 Highway 12 W
Kosciusko, MS 39090-3208
Phone (662) 290-3315

Other practice location 2

823 Grand Ave
Yazoo City, MS 39194-3233
Phone (662) 746-2261

Other practice location 3

2520 5th St N
Columbus, MS 39705-2008
Phone (662) 244-1584

Other practice location 4

102 Doctors Park
Starkville, MS 39759-2570
Phone (662) 615-3800

Other practice location 5

119 City Market Dr Ste C
Saltillo, MS 38866-7002
Phone (662) 253-8243

Other practice location 6

151 E Metro Dr Ste 102
Flowood, MS 39232-4404
Phone (662) 244-1584

Other practice location 7

2633 Traceland Dr
Tupelo, MS 38801-4238
Phone (662) 205-4652

Other practice location 8

504 Azalea Dr Ste B
Oxford, MS 38655-5397
Phone (662) 636-4250

Other practice location 9

1100 Belk Blvd
Oxford, MS 38655-5242
Phone (662) 513-1609

Other practice location 10

400 Hospital Rd
Starkville, MS 39759-2163
Phone (662) 323-4230

Other practice location 11

300 Oxford Rd
New Albany, MS 38652-3117
Phone (662) 534-8166

Other practice location 12

200 State Highway 30 W
New Albany, MS 38652-3112
Phone (662) 538-7631

Other practice location 13

1225 N State St
Jackson, MS 39202-2064
Phone (601) 968-5003

Other practice location 14

216 Oxford Rd
New Albany, MS 38652-3115
Phone (662) 534-9042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041103000886 TN Practitioner - Diagnostic Radiology 8921060633 Reassigns benefits to 1 organization
I20200811000632 GA Practitioner - Diagnostic Radiology 8921060633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Georgia School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Imaging Consultants IncGroup PAC ID 7618949520, 15 clinicians

Practice addresses (Care Compare)

2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 495-4430

400 Berywood TRL NW
Suite a
Cleveland, TN 37312-5288
Phone (423) 826-8220

4700 Battlefield Pkwy
Ringgold, GA 30736-5166
Phone (866) 730-5619

6401 Mountain View Rd
Ooltewah, TN 37363-6681
Phone (423) 826-8220

Hospital & facility affiliations

  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
  • Commonspirit-Memorial Hospital-North Georgia Hospital, Ringgold, GA, CCN 110236
  • Hamilton Medical Center Hospital, Dalton, GA, CCN 110001
  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104
  • Parkridge Medical Center Hospital, Chattanooga, TN, CCN 440156

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000039035TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Imaging Consultants Inc Diagnostic Radiology CurrentSince Sep 1, 2004 Accepting new patients
CHI Memorial Hospital - Georgia CurrentSince Aug 3, 2020 Accepting new patients
GBM Enterprises, Inc. Past Accepting new patients
North Georgia Radiology PastSince Jun 1, 2013 Accepting new patients
Memorial Health Care System, Inc. Past Accepting new patients

Locations

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301

4700 Battlefield Pkwy
Ringgold, GA 30736
Phone (706) 841-8000

4700 Battlefield Pkwy
Ste 100
Ringgold, GA 30736
Phone (706) 806-0170

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

601 Dodds Ave
Chattanooga, TN 37404
Phone (423) 629-9783

400 Berywood Trl NW
Ste A
Cleveland, TN 37312
Phone (423) 697-3560

6401 Mountain View Rd
Ooltewah, TN 37363

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14399/brand/2/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1366424285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177",
            "telephone_number": "901-226-4003",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 DESALES AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041161",
            "telephone_number": "423-495-4430",
            "fax_number": "423-495-6179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Highway 12 W",
            "address_purpose": "LOCATION",
            "city": "Kosciusko",
            "state": "MS",
            "postal_code": "390903208",
            "country_code": "US",
            "telephone_number": "662-290-3315",
            "fax_number": "601-974-6245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "823 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391943233",
            "country_code": "US",
            "telephone_number": "662-746-2261",
            "fax_number": "662-746-4839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2520 5th St N",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397052008",
            "country_code": "US",
            "telephone_number": "662-244-1584",
            "fax_number": "662-244-2086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Doctors Park",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397592570",
            "country_code": "US",
            "telephone_number": "662-615-3800",
            "fax_number": "622-615-3807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 City Market Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Saltillo",
            "state": "MS",
            "postal_code": "388667002",
            "country_code": "US",
            "telephone_number": "662-253-8243",
            "fax_number": "662-538-2442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 E Metro Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392324404",
            "country_code": "US",
            "telephone_number": "662-244-1584",
            "fax_number": "662-244-2086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2633 Traceland Dr",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388014238",
            "country_code": "US",
            "telephone_number": "662-205-4652",
            "fax_number": "662-205-4651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 Azalea Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386555397",
            "country_code": "US",
            "telephone_number": "662-636-4250",
            "fax_number": "662-636-1998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Belk Blvd",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386555242",
            "country_code": "US",
            "telephone_number": "662-513-1609",
            "fax_number": "662-232-8555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397592163",
            "country_code": "US",
            "telephone_number": "662-323-4230",
            "fax_number": "662-615-2554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Oxford Rd",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523117",
            "country_code": "US",
            "telephone_number": "662-534-8166",
            "fax_number": "662-534-8132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 State Highway 30 W",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523112",
            "country_code": "US",
            "telephone_number": "662-538-7631",
            "fax_number": "662-538-2593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022064",
            "country_code": "US",
            "telephone_number": "601-968-5003",
            "fax_number": "601-974-6245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "216 Oxford Rd",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523115",
            "country_code": "US",
            "telephone_number": "662-534-9042",
            "fax_number": "662-534-9707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINGSMAN",
        "first_name": "KILTON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "37645",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "MD0000039035",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.