Organization Active NPI

Southern MRI Hilton Head

  • Body Imaging Physician
  • Hilton Head Island, SC
National Provider Identifier
1407801863
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
Legal business name
SOUTHERN MRI HILTON HEAD
Practice address
460 William Hilton Pkwy
Suite F1
Hilton Head Island, SC 29926-2497
Phone
(843) 681-5636
NPI assigned
May 24, 2006
Last updated
Nov 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Chris Jenkins
Title
Manager
Phone
(843) 681-5636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X Primary

Addresses

Primary practice location

460 William Hilton Pkwy
Suite F1
Hilton Head Island, SC 29926-2497

Mailing address

PO Box 190
Bluffton, SC 29910-0190
Phone (843) 815-6411

Other identifiers 1

IdentifierTypeStateIssuer
SL0029MedicaidSC

National Provider Directory

National Provider Directory

Locations

460 William Hilton Pkwy
Ste F1
Hilton Head Island, SC 29926
Phone (843) 681-5636

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1407801863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299100190",
            "telephone_number": "843-815-6411",
            "fax_number": "843-815-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 WILLIAM HILTON PKWY",
            "address_2": "SUITE F1",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262497",
            "telephone_number": "843-681-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MRI HILTON HEAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "843-681-5636"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SL0029",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.