Individual provider Active NPI

Diane Huntington Conley, MD

  • Diagnostic Radiology Physician
  • Charlotte, NC
National Provider Identifier
1528032604
Registry record updated Aug 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2008-01875 Issued in NC
Practice address
3815 Stoney Ridge TRL
Charlotte, NC 28210-6932
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101041788 VA
Diagnostic Radiology Physician 2085R0202X 2008-01875 NC Primary

Addresses

Primary practice location

3815 Stoney Ridge TRL
Charlotte, NC 28210-6932

Mailing address

336 Burtonwood Dr
Gastonia, NC 28054-4054
Phone (952) 595-1301

Other names 1

  • Diane Kay Huntington Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX, SC, FL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20090126000191 NC Practitioner - Diagnostic Radiology 1355331273 Reassigns benefits to 6 organizations
I20160418000097 TX Practitioner - Diagnostic Radiology 1355331273 Reassigns benefits to 4 organizations
I20170411000551 SC Practitioner - Diagnostic Radiology 1355331273 Reassigns benefits to 1 organization
I20260508001224 FL Practitioner - Diagnostic Radiology 1355331273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gaston Radiology PAGroup PAC ID 4082680806, 29 clinicians

Practice addresses (Care Compare)

2343 N Peakview Loop
Hernando, FL 34442-6397
Phone (704) 834-2000

620 Summit Crossing Place
Suite 106
Gastonia, NC 28054-2176
Phone (704) 864-4378

Hospital & facility affiliations

  • Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101041788VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ton San Xavier Health Center CurrentSince Mar 5, 2016 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jan 1, 2021 Accepting new patients
Gaston Radiology PA Diagnostic Radiology CurrentSince Dec 29, 2008 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jan 1, 2021 Accepting new patients
Gaston Radiology Diagnostic Radiology Current Accepting new patients
Self Regional Healthcare Partners Diagnostic Radiology Current Accepting new patients
Ton San Simon Health Center CurrentSince Mar 5, 2016 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Jan 9, 2020 Accepting new patients
Allendale County Hospital Board Current Accepting new patients
Radiologists Associated in Duluth LTD Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jan 30, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Diagnostic Radiology CurrentSince Oct 26, 2020 Accepting new patients
Carolina Radiology Associates LLC Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Ton Sells Hospital CurrentSince Mar 5, 2016 Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Ton Sells Hospital Past Accepting new patients
Reston Radiology Consultants, PC Diagnostic Radiology PastSince Nov 9, 2021 Accepting new patients
Virginia Radiological Associates PLLC Diagnostic Radiology Past Accepting new patients
Fair Oaks Imaging Center, PC Diagnostic Radiology PastSince Apr 23, 2023 Accepting new patients
Pet of Reston, LP Diagnostic Radiology PastSince Apr 23, 2023 Accepting new patients
MRI of Reston, LP Diagnostic Radiology PastSince Apr 23, 2023 Accepting new patients

Locations (25 of 57)

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

746 Campbell Ln
Ste 101
Bowling Green, KY 42104
Phone (270) 843-9510

990 Wilkinson Trce
Ste 100
Bowling Green, KY 42103
Phone (270) 781-4043

1325 Andrea St
Ste 100
Bowling Green, KY 42104
Phone (270) 901-3454

723 S Lake Dr
Prestonsburg, KY 41653
Phone (606) 430-2225

10 Little Brook Rd
West Wareham, MA 02576

10 5th St SE
Cook, MN 55723
Phone (218) 626-3441

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

620 Summit Crossing Pl
Ste 106
Gastonia, NC 28054
Phone (704) 864-4378

336 Burtonwood Dr
Gastonia, NC 28054
Phone (704) 867-8021

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

1622 Westgate Cir
Brentwood, TN 37027
Phone (629) 255-2609

1000 Health Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 886-4910

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

605 Glenwood Dr
Ste 200
Chattanooga, TN 37404
Phone (423) 698-1844

2205 McCallie Ave
Chattanooga, TN 37404
Phone (423) 508-6733

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

776 Weatherly Dr
Clarksville, TN 37043
Phone (931) 906-2004

101 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

1511 Donelson Pkwy
Dover, TN 37058
Phone (931) 232-5555

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 1

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504051200000",
    "number": "1528032604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 BURTONWOOD DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544054",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 STONEY RIDGE TRL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282106932",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "DIANE",
        "middle_name": "HUNTINGTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2017-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101041788",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2008-01875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "HUNTINGTON",
            "middle_name": "KAY",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.