Individual provider Active NPI

Philip Neely, MD

  • Diagnostic Radiology Physician
  • Birmingham, AL
National Provider Identifier
1558310789
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
13418 Issued in AL
Practice address
1 Metroplex Dr
Suite 250
Birmingham, AL 35209-6893
Phone
(205) 802-7725
Fax
(205) 802-7549
NPI assigned
May 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 13418 AL Primary

Addresses

Primary practice location

1 Metroplex Dr
Suite 250
Birmingham, AL 35209-6893

Mailing address

152 Intracoastal Dr
Madison, AL 35758-9424
Phone (256) 217-0334

Other identifiers 1

IdentifierTypeStateIssuer
18143MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20070607000339 GA Practitioner - Diagnostic Radiology 5799883237 Reassigns benefits to 1 organization
I20080422000861 AL Practitioner - Diagnostic Radiology 5799883237 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Vanderbilt University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Georgia Radiology Associates LLCGroup PAC ID 0042389231, 32 clinicians

Practice addresses (Care Compare)

152 Intracoastal Dr
Madison, AL 35758-9424
Phone (912) 225-0938

163 E Tollison St
Baxley, GA 31513-0120
Phone (912) 367-9841

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42226TNMDLicensed Practical Nurse
13418ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Imaging Associates, PC CurrentSince Nov 10, 2019 Accepting new patients
High Tech Imaging Center Inc CurrentSince Apr 2, 2012 Accepting new patients
South Georgia Radiology Associates, LLC Diagnostic Radiology CurrentSince Dec 1, 2020 Accepting new patients
Med Tech Imaging Center LLC CurrentSince Jul 12, 2018 Accepting new patients
South Florida Medical Imaging, PA Diagnostic Radiology CurrentSince Feb 1, 2018 Accepting new patients
Intercity Radiology, PC CurrentSince Jan 1, 2019 Accepting new patients
Columbus Radiology Physicians LLC Diagnostic Radiology CurrentSince Sep 1, 2019 Accepting new patients
Tennessee Valley Radiology LLC Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
Bca Georgia, LLC Past Accepting new patients
Radiology Group PA Diagnostic Radiology Past Accepting new patients
Pin Point Radiology Management, L.P. Diagnostic Radiology Past Accepting new patients

Locations (25 of 66)

172 Mj Taylor Rd
Adel, GA 31620
Phone (229) 896-3424

706 N Parrish Ave
Adel, GA 31620
Phone (229) 896-8000

260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290

2822 Nottingham Way
Ste 3
Albany, GA 31707
Phone (229) 304-5261

611 E Washington Ave
Ashburn, GA 31714
Phone (229) 537-3407

100 Highway 18 W
Barnesville, GA 30204
Phone (770) 358-0674

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

950 S Main St
Ste 2
Baxley, GA 31513
Phone (912) 367-2596

277 Lackawanna St
Baxley, GA 31513
Phone (912) 366-1362

19 Doctors Way
Ste A
Blairsville, GA 30512

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

630 Columbia St
Blakely, GA 39823
Phone (229) 723-4241

2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263

209 N Cuthbert St
Colquitt, GA 39837
Phone (229) 758-3385

902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100

1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

200 Fairview Park Dr
Dublin, GA 31021
Phone (478) 272-6150

901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000

820 2nd Ave
Eastman, GA 31023
Phone (478) 374-5511

1120 Indian Dr
Eastman, GA 31023
Phone (478) 354-4220

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

200 Perry House Rd
Fitzgerald, GA 31750
Phone (229) 424-1461

88 Martin Luther King Jr Dr
Forsyth, GA 31029
Phone (419) 994-2521

101 Hartford Rd W
Ste 1
Fort Gaines, GA 39851
Phone (229) 210-2100

Organizations & group practices 11

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 5

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": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558310789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 INTRACOASTAL DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589424",
            "telephone_number": "256-217-0334",
            "fax_number": "256-864-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 METROPLEX DR",
            "address_2": "SUITE 250",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096893",
            "telephone_number": "205-802-7725",
            "fax_number": "205-802-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "13418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18143",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.