Active NPI
Southern MRI Hilton Head
- Body Imaging Physician
- Hilton Head Island, SC
National Provider Identifier
1407801863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SL0029 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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
- South Carolina Cancer Specialist, P.a.
- South Carolina Cancer Specialist, P.a.
- South Carolina Health Services, Inc
- South Carolina Therapy Group LLC
- Southeastern Regenerative Institute
- Stacy Lynn Spohn, OTR/L, CHT
- Ravindra Prakash Srivastava, MD
- Scott Alan Stanas
- John M Stanko, RPH
- Stay Encouraged Home Care LLC
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.