Central Ms Imaging LLC Dba Southern Diagnostic Imaging

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

CENTRAL MS IMAGING LLC DBA SOUTHERN DIAGNOSTIC IMAGING

Practice address

1037 N Flowood Dr
Flowood, MS 39232-9533

Phone

(601) 936-0302

NPI assigned

Oct 5, 2006

Last updated

Feb 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danielle Stuart

Title

Credentialing Representative 2

Phone

(601) 200-4880

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St Dominic-Jackson Memorial Hospital

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1306876065

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yong Kim, M. D.

  • Diagnostic Radiology Physician
  • Jackson, MS
  • NPI 1235145269
  NPD

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1568558385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 N FLOWOOD DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329533",
            "telephone_number": "601-936-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 N FLOWOOD DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329533",
            "telephone_number": "601-936-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MS IMAGING LLC DBA SOUTHERN DIAGNOSTIC IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "CREDENTIALING REPRESENTATIVE 2",
        "authorized_official_telephone_number": "601-200-4880"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cefalu Chiropractic Services of Madison, LLC (Foxworth Chiropractic)
• Andrew Joseph Cefalu Jr., D.C.
• Center of Infectious Disease Excellence LLC
• Central Mississippi Civic Improvement Association
• Central Ms Diagnostics, LLC
• Central Nephrology Clinic PLLC
• CH MSSP Services Ms LLC
• Price Conerly Chadwick
• Champion Physical Therapy, LLC
• Quaneshia Chandler

• Radiology Clinic/Center in Flowood, MS
• Providers in Flowood, MS by specialty
• Radiology Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.