NPIMap

Individual provider Active NPI

Mary Elizabeth Thomasson, MD

  • Diagnostic Radiology Physician
  • Birmingham, AL
National Provider Identifier
1558927012
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
41837 Issued in AL
Practice address
619 19TH Street South
Birmingham, AL 35294-4400
Phone
(205) 934-3166
NPI assigned
May 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 41837 AL Primary

Addresses

Primary practice location

619 19TH Street South
Birmingham, AL 35294-4400

Mailing address

619 19TH St S
Birmingham, AL 35233-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240609000005 AL Practitioner - Diagnostic Radiology 6204160674 Reassigns benefits to 3 organizations
I20250718002946 TN Practitioner - Diagnostic Radiology 6204160674 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Sumner Radiology PCGroup PAC ID 2567448400, 9 clinicians

Practice addresses (Care Compare)

210 25TH Ave N
Suite 1204
Nashville, TN 37203-1620
Phone (615) 312-0600

555 Hartsville Pike
Gallatin, TN 37066-2400
Phone (615) 452-4210

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41837ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Jun 1, 2024 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Sep 23, 2025 Accepting new patients
Sumner Radiology, PC Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Clarksville Imaging Center LLC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Middle Tennessee Imaging LLC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

720 39th St N
Birmingham, AL 35222

1015 Medical Center Pkwy
Selma, AL 36701
Phone (334) 418-4100

2320 Wilma Rudolph Blvd
Clarksville, TN 37040
Phone (931) 645-1564

555 Hartsville Pike
Gallatin, TN 37066
Phone (615) 328-5067

28 White Bridge Pike
Ste 104
Nashville, TN 37205

210 25th Ave N
Ste 1204
Nashville, TN 37203
Phone (615) 312-1479

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1558927012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH STREET SOUTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352944400",
            "telephone_number": "205-934-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMASSON",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-10",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "41837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.