Valley Imaging Partners, P.C.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD26307 Issued in TN

Legal business name

VALLEY IMAGING PARTNERS, P.C.

Practice address

1000 Hwy 28
Jasper, TN 37347

Phone

(423) 591-2632

Fax

(423) 837-9549

NPI assigned

Aug 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Edrick Jordan Ferguson, MD

Title

President

Phone

(423) 591-2632

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1487801924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 97",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "37347",
            "telephone_number": "423-591-2632",
            "fax_number": "423-837-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HWY 28",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "37347",
            "telephone_number": "423-591-2632",
            "fax_number": "423-837-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY IMAGING PARTNERS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "EDRICK",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-591-2632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "0000026307",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "MD26307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1507509",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4191955",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Katherine Stout, PHARMD
• Tennessee Behavioral Therapy Jasper LLC
• Tennessee CVS Pharmacy LLC
• Margaret Anna Thomas, FNP-C
• Candyce Michelle Turner, BCBA
• Valley Medical Care LLC
• Valley Medical Imaging
• Christopher Brian Walls, NP-C
• Pamela Louise West, APN
• Marshall Ray Willis, MD

• Diagnostic Radiology Physician in Jasper, TN
• Providers in Jasper, 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 Jul 1, 2009; 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.