Active NPI
Sunbelt Radiology, PLLC
- Diagnostic Radiology Physician
- Jellico, TN
National Provider Identifier
1629155601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100028470 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Diagnostic Radiology Physician
- Greeneville, TN
- NPI 1104821990
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.