Diagnostic Radiology Associates, PA

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

Legal business name

DIAGNOSTIC RADIOLOGY ASSOCIATES, PA

Practice address

1050 N Flowood Dr
Suite a-4
Flowood, MS 39232-9738

Phone

(601) 936-0494

NPI assigned

Jul 28, 2006

Last updated

Feb 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Scott Fortson

Title

Operations Manager

Phone

(770) 590-3848

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allen R Yates, M.D.

  • Diagnostic Radiology Physician
  • Vicksburg, MS
  • NPI 1528148855
  NPD (past)
• Rife E Huckabee, M.D.

  • Diagnostic Radiology Physician
  • Fresno, CA
  • NPI 1215930813
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1407860315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4710",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392964710",
            "telephone_number": "601-936-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N FLOWOOD DR",
            "address_2": "SUITE A-4",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329738",
            "telephone_number": "601-936-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC RADIOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "FORTSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "770-590-3848",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09011383",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CL2516",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Denton Desper, NP
• Diabetes & Endocrine Institute, PLLC
• Diabetes and Endocrine Institute
• Diabetes Management Centers of Mississippi, LLC
• Diabetes Management Solutions
• Catherine Dilgren Diaz, PA-C
• Nancy M Dickens, LPC
• Rachel F Dickerson, FNP
• Amy Different
• Maranda Dillon, NP-C

• Body Imaging Physician in Flowood, MS
• Providers in Flowood, MS by specialty
• Body Imaging Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.