Active NPI
Insight Imaging LLC
Doing business as Videre Diagnostics
- Diagnostic Radiology Physician
- Huntersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- INSIGHT IMAGING LLC
- Doing business as
- Videre Diagnostics
- Practice address
- 9930 Kincey Ave Ste 110
Huntersville, NC 28078-6541 - Phone
- (704) 525-7005
- Fax
- (704) 525-6250
- NPI assigned
- Sep 13, 2005
- Last updated
- Jul 14, 2025
- 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
- Mr. Daniel P Bouknight
- Title
- Ceo
- Phone
- (704) 525-7005
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
9930 Kincey Ave Ste 110
Huntersville, NC 28078-6541
Mailing address
9930 Kincey Ave Ste 110
Huntersville, NC 28078-6541
Phone (704) 525-7005
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2881776 | Other | NC | CIGNA |
| P00228084 | Other | TN | RR MEDICARE |
| P00345675 | Other | GA | RR MEDICARE |
| 47BBBJF | Other | GA | CAHABA |
| P00008129 | Other | NC | RR MEDICARE |
| Q335650001 | Other | SC | PALMETTO GBA |
Other names 1
- Videre Diagnostics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC, TN, GA
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040318000026 | NC | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 2062302516 | Practice locations: Huntersville, NC |
| O20040625000092 | SC | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 2062302516 | Practice locations: Irmo, SC |
| O20041022000135 | TN | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 2062302516 | Practice locations: Chattanooga, TN; Huntersville, NC |
| O20050314000532 | GA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 2062302516 | Practice locations: Ringgold, GA; Huntersville, NC |
National Provider Directory
National Provider DirectoryLocations
132 Battlefield Crossing Ct
Ste 355
Ringgold, GA 30736
Phone 7045257005240
201 S Tryon St
Ste 800
Charlotte, NC 28202
Phone (704) 525-7005
1901 Roxborough Rd
Ste 200
Charlotte, NC 28211
Phone (704) 525-7005
6101 Carnegie Blvd
Ste 355
Charlotte, NC 28209
9930 Kincey Ave
Ste 110
Huntersville, NC 28078
Phone (704) 525-7005
1604 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 648-2395
186 Hospital Rd
Ste 500
Winchester, TN 37398
Phone (615) 967-5646
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Cardiovascular Disease Physician
- Irmo, SC
- NPI 1427057009
-
- Diagnostic Radiology Physician
- Chattanooga, TN
- NPI 1285654210
-
- Diagnostic Radiology Physician
- Wyoming, MI
- NPI 1780902841
-
- Internal Medicine Physician
- Winchester, TN
- NPI 1588758783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752451200000",
"number": "1689669046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9930 KINCEY AVE STE 110",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280786541",
"telephone_number": "704-525-7005",
"fax_number": "704-525-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9930 KINCEY AVE STE 110",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280786541",
"telephone_number": "704-525-7005",
"fax_number": "704-525-6250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSIGHT IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-13",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A",
"authorized_official_last_name": "BOUKNIGHT",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "704-525-7005",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2881776",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00228084",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00345675",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAHABA",
"identifier": "47BBBJF",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00008129",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "Q335650001",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Videre Diagnostics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Videre Diagnostics",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.