Individual provider Active NPI

Jared Sadler Burlison, MD, PHD

  • Diagnostic Radiology Physician
  • Chattanooga, TN
National Provider Identifier
1467778258
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
52451 Issued in TN
Practice address
Tennessee Interventional and Imaging Associates
975 East 3Rd Street #376
Chattanooga, TN 37403
Phone
(237) 787-2344
Fax
(423) 778-6811
NPI assigned
Apr 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 52451 TN Primary

Addresses

Primary practice location

Tennessee Interventional and Imaging Associates
975 East 3Rd Street #376
Chattanooga, TN 37403

Mailing address

975 E 3Rd St # 376
Chattanooga, TN 37403-2173
Phone (423) 778-7234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NC, GA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150805008429 TN Practitioner - Diagnostic Radiology 9931334760 Reassigns benefits to 1 organization
I20200518001786 NC Practitioner - Diagnostic Radiology 9931334760 Reassigns benefits to 1 organization
I20200520000599 GA Practitioner - Diagnostic Radiology 9931334760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Vanderbilt University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Interventional and Imaging Associates PLLCGroup PAC ID 4688897473, 33 clinicians

Practice addresses (Care Compare)

162 Legacy PT
Clayton, GA 30525-5354
Phone (423) 778-7234

3990 E US 64 Alt
Murphy, NC 28906-6843
Phone (423) 778-7234

975 E 3Rd St
Box 376
Chattanooga, TN 37403-2147
Phone (423) 778-7234

Hospital & facility affiliations

  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104
  • Erlanger Murphy Medical Center Hospital, Murphy, NC, CCN 341328
  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
  • Erlanger Bledsoe Hospital Hospital, Pikeville, TN, CCN 441306
  • Hamilton Medical Center Hospital, Dalton, GA, CCN 110001

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
85.9
Improvement activities
40
Cost
72.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52451TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Interventional and Imaging Associates, PLLC Diagnostic Radiology CurrentSince Feb 1, 2020 Accepting new patients

Locations

162 Legacy Pt
Clayton, GA 30525
Phone (706) 782-0408

3990 US Highway 64 E
Murphy, NC 28906
Phone (828) 837-5939

975 E 3rd St
#376
Chattanooga, TN 37403
Phone (423) 778-6216

Organizations & group practices 1

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": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1467778258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST # 376",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032173",
            "telephone_number": "423-778-7234",
            "fax_number": "423-778-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TENNESSEE INTERVENTIONAL AND IMAGING ASSOCIATES",
            "address_2": "975 EAST 3RD STREET #376",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37403",
            "telephone_number": "237-787-2344",
            "fax_number": "423-778-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLISON",
        "first_name": "JARED",
        "middle_name": "SADLER",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-19",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "52451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.