Organization Active NPI

Sunbelt Radiology, PLLC

  • Diagnostic Radiology Physician
  • Jellico, TN
National Provider Identifier
1629155601
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SUNBELT RADIOLOGY, PLLC
Practice address
188 Hospital LN
Jellico, TN 37762-4400
Phone
(423) 784-7252
NPI assigned
Nov 1, 2006
Last updated
Jun 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Larry J Hargis, M.D.
Title
Owner/Chief Manager
Phone
(865) 531-6070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

188 Hospital LN
Jellico, TN 37762-4400

Mailing address

5500 Lonas Dr
Suite 360
Knoxville, TN 37909-3200
Phone (865) 531-6070

Other identifiers 1

IdentifierTypeStateIssuer
7100028470MedicaidKY

National Provider Directory

National Provider Directory

Locations

5500 Lonas Dr
Ste 360
Knoxville, TN 37909

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1629155601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 LONAS DR",
            "address_2": "SUITE 360",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093200",
            "telephone_number": "865-531-6070",
            "fax_number": "865-531-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 HOSPITAL LN",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "377624400",
            "telephone_number": "423-784-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBELT RADIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "HARGIS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/CHIEF MANAGER",
        "authorized_official_telephone_number": "865-531-6070",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100028470",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jellico, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.