Individual provider Active NPI

Brian Trissell, MD

  • Diagnostic Radiology Physician
  • Waycross, GA
National Provider Identifier
1669836292
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
88597 Issued in GA
Practice address
1900 Tebeau St
Waycross, GA 31501-6357
Phone
(912) 283-3030
NPI assigned
Apr 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2018009816 MO
Diagnostic Radiology Physician 2085R0202X 04-48039 KS
Diagnostic Radiology Physician 2085R0202X ME149470 FL
Diagnostic Radiology Physician 2085R0202X 88597 GA Primary

Addresses

Primary practice location

1900 Tebeau St
Waycross, GA 31501-6357

Mailing address

83245 Purple Martin Dr
Yulee, FL 32097-2628
Phone (571) 296-5110

Other practice location 1

800 Ravenhill Dr
Atchison, KS 66002-9204
Phone (913) 367-2131

Other practice location 2

1004 Progress Dr Ste 180&145
Lansing, KS 66043-6326
Phone (913) 297-3215

Other practice location 3

300 Utah St
Hiawatha, KS 66434-2326
Phone (785) 742-2131

Other identifiers 3

IdentifierTypeStateIssuer
004030032OtherKSPTAN
10030307600MedicaidNE
30004976670001MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL, GA, HI, KS, WA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20210806000610 MO Practitioner - Diagnostic Radiology 1456624238 Reassigns benefits to 2 organizations
I20220601000114 FL Practitioner - Diagnostic Radiology 1456624238 Reassigns benefits to 2 organizations
I20220603001803 GA Practitioner - Diagnostic Radiology 1456624238 Reassigns benefits to 1 organization
I20231024002328 HI Practitioner - Diagnostic Radiology 1456624238 Reassigns benefits to 2 organizations
I20240129001650 KS Practitioner - Diagnostic Radiology 1456624238 Reassigns benefits to 3 organizations
I20250214003376 WA Practitioner - Diagnostic Radiology 1456624238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Virginia School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Radiology Specialists of St Joseph PCGroup PAC ID 3173508512, 18 clinicians
Hiawatha Hospital Association IncGroup PAC ID 9032007364, shared by 5 NPIs, 47 clinicians

Practice addresses (Care Compare)

2500 Norbury Dr
Columbia, MO 65202-2014
Phone (904) 399-5550

2810 Oahu Ave
Honolulu, HI 96822-1726
Phone (816) 271-6575

300 Utah St
Hiawatha, KS 66434-2326
Phone (785) 742-2131

3805 SE 184TH CT
Vancouver, WA 98683-8232
Phone (816) 271-6575

567 A Kaneapu PL
Kailua, HI 96734-3132
Phone (904) 399-5550

585 Kaneapu PL
Kailua, HI 96734-3132
Phone (904) 399-5550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.73 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.78

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
81.83
Promoting interoperability
99
Improvement activities
40
Cost
74.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME149470FLMDDiagnostic Radiology Physician
88597GAMDDiagnostic Radiology Physician
04-48039KSMDDiagnostic Radiology Physician
2018009816MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Specialists of St Joseph PC Diagnostic Radiology CurrentSince Oct 10, 2023 Accepting new patients
Hiawatha Hospital Association Inc Diagnostic Radiology CurrentSince Dec 21, 2023 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Jul 19, 2021 Accepting new patients
Hiawatha Hospital Association Inc CurrentSince Nov 1, 2025 Accepting new patients
Hiawatha Hospital Association Inc CurrentSince Dec 21, 2023 Accepting new patients
Amberwell Atchison Association CurrentSince Nov 1, 2025 Accepting new patients
Amberwell Atchison Association CurrentSince Nov 1, 2025 Accepting new patients
Northside Imaging LLC Diagnostic Radiology PastSince Apr 1, 2022 Accepting new patients
Amberwell Atchison Association PastSince May 25, 2025 Accepting new patients
Amberwell Atchison Association Past Accepting new patients

Locations

106 Lukken Industrial Dr W
Lagrange, GA 30240
Phone (706) 880-7204

1602 Vernon Rd
Ste 200
Lagrange, GA 30240
Phone (478) 292-7962

2200 Vernon St
Lagrange, GA 30240

303 Medical Dr
Ste 405
Lagrange, GA 30240
Phone (706) 812-2229

300 Medical Dr
Ste 707
Lagrange, GA 30240
Phone (706) 803-7920

1420 Vernon Rd
Lagrange, GA 30240
Phone (706) 880-7411

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Ferry Rd
Ste 2
Sandy Springs, GA 30342

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

1900 Tebeau St
Ste C
Waycross, GA 31501

800 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-2131

300 Utah St
Hiawatha, KS 66434
Phone (785) 742-6286

3906 Oakland Ave
Unit 8252
Saint Joseph, MO 64508

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

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": "1460246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1669836292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83245 PURPLE MARTIN DR",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320972628",
            "telephone_number": "571-296-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 TEBEAU ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016357",
            "telephone_number": "912-283-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Ravenhill Dr",
            "address_purpose": "LOCATION",
            "city": "Atchison",
            "state": "KS",
            "postal_code": "660029204",
            "country_code": "US",
            "telephone_number": "913-367-2131",
            "fax_number": "913-674-2023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1004 Progress Dr Ste 180&145",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "KS",
            "postal_code": "660436326",
            "country_code": "US",
            "telephone_number": "913-297-3215",
            "fax_number": "913-297-2732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Utah St",
            "address_purpose": "LOCATION",
            "city": "Hiawatha",
            "state": "KS",
            "postal_code": "664342326",
            "country_code": "US",
            "telephone_number": "785-742-2131",
            "fax_number": "785-742-6558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRISSELL",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-10",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2018009816",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-48039",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME149470",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "88597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "004030032",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10030307600",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004976670001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.