Southern Radiology Associates, PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SOUTHERN RADIOLOGY ASSOCIATES, PLLC

Practice address

1224 Trotwood Ave
Columbia, TN 38401-4802

Phone

(931) 647-5034

Fax

(931) 552-6663

NPI assigned

Aug 3, 2006

Last updated

Oct 25, 2021By 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

Dr. James D Grippo, M.D.NPI 1073531042

Title

President

Phone

(931) 647-5034

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN, FL, NH, CA, GA, AL, OH, TX, PA, DC, MA, WA, NY, MO, CO, NJ16 enrollments

Enrollment records 16

Locations

Interoperability endpoints

• Direct secure messaging: jgrippo@sratn.com

Practitioners 63

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.

• James David Grippo, M.D.

  • Diagnostic Radiology Physician
  • Columbia, TN
  • NPI 1073531042
  Medicare reassignment Care Compare group Authorized official
• Nathan R Berkley, MD

  • Diagnostic Radiology Physician
  • Columbia, TN
  • NPI 1538216403
  Medicare reassignment Care Compare group NPD
• Brice T. Boughner, MD

  • Diagnostic Radiology Physician
  • Columbia, TN
  • NPI 1669428603
  Medicare reassignment Care Compare group NPD
• Robert Stanley Burcham, M.D.

  • Diagnostic Radiology Physician
  • Goodlettsville, TN
  • NPI 1942254883
  Medicare reassignment Care Compare group NPD
• James Blair Butler, MD

  • Diagnostic Radiology Physician
  • Columbia, TN
  • NPI 1316949191
  Medicare reassignment Care Compare group NPD
• Jonathan Paul Gordon, MD

  • Diagnostic Radiology Physician
  • Goodlettsville, TN
  • NPI 1043232879
  Medicare reassignment Care Compare group NPD
• Daniel Aaron Grippo, MD

  • Diagnostic Radiology Physician
  • Columbia, TN
  • NPI 1366599243
  Medicare reassignment Care Compare group NPD
• Michael Douglas Hellman Jr., DO

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1750673083
  Medicare reassignment Care Compare group NPD
• Joseph E. Pate, MD

  • Diagnostic Radiology Physician
  • Columbia, TN
  • NPI 1144216482
  Medicare reassignment Care Compare group NPD
• Gary Travis Patterson, M.D.

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1487816948
  Medicare reassignment Care Compare group NPD
• Gary T. Podgorski, MD

  • Diagnostic Radiology Physician
  • Columbia, TN
  • NPI 1598751810
  Medicare reassignment Care Compare group NPD
• Matthew Ryan Prater, M.D.

  • Diagnostic Radiology Physician
  • Columbia, TN
  • NPI 1972867398

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1467460725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 TROTWOOD AVE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014802",
            "telephone_number": "931-647-5034",
            "fax_number": "931-552-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 TROTWOOD AVE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014802",
            "telephone_number": "931-647-5034",
            "fax_number": "931-552-6663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5421 Main St",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "TN",
            "postal_code": "371744410",
            "country_code": "US",
            "telephone_number": "615-577-4057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN RADIOLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "GRIPPO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-647-5034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "002006510",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3386891",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jgrippo@sratn.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health information service provider",
            "address_1": "5421 Main St",
            "city": "Spring Hill",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371744410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• South Central Community Services Agency
• South Central Heart Group Inc
• South Central TN Development District
• Southern Family Markets LLC (Southern Family Market)
• Southern Physical Therapy, LLC
• Southern TN Transportation
• Campbell Miller Sowell Jr., D D S
• Rebecca Sue Sowell, PHARM.D.
• David George Spak
• Grant Connor Spears

• Diagnostic Radiology Physician in Columbia, TN
• Providers in Columbia, TN by specialty
• Diagnostic Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.