NPIMap

Organization Active NPI

Advanced Diagnostic Imaging, PC

Doing business as Covenant Medical Group

  • Internal Medicine Physician
  • Fairview, TN
National Provider Identifier
1740757764
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ADVANCED DIAGNOSTIC IMAGING, PC
Doing business as
Covenant Medical Group
Practice address
2340 Fairview Boulevard
Suite 600D
Fairview, TN 37062
Phone
(615) 441-6140
NPI assigned
Oct 29, 2018
Last updated
Feb 14, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANCED DIAGNOSTIC IMAGING, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Authorized official

Name
Susan Fenton
Title
Credentialing Supervisor
Phone
(615) 851-6033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2340 Fairview Boulevard
Suite 600D
Fairview, TN 37062

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132

Other names 1

  • Covenant Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hill Radiology Associat53 organizations share this tax ID, including this one
Part of
Hill Radiology Associat

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

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": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1740757764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 FAIRVIEW BOULEVARD",
            "address_2": "SUITE 600D",
            "city": "FAIRVIEW",
            "state": "TN",
            "postal_code": "37062",
            "telephone_number": "615-441-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DIAGNOSTIC IMAGING, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED DIAGNOSTIC IMAGING, PC",
        "enumeration_date": "2018-10-29",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "615-851-6033"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Covenant Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairview, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.