Organization Active NPI

Tennessee Radiology Associates, PLLC

  • Diagnostic Radiology Physician
  • Cookeville, TN
National Provider Identifier
1760743116
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
687678 Issued in TN
Legal business name
TENNESSEE RADIOLOGY ASSOCIATES, PLLC
Practice address
315 N Washington Ave
Suite 209
Cookeville, TN 38501-2603
Phone
(931) 528-2443
Fax
(931) 528-1488
NPI assigned
Jun 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Authorized official

Name
Dr. William M Humphrey, M.D.
Title
President
Phone
(931) 528-2443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 687678 TN Primary

Addresses

Primary practice location

315 N Washington Ave
Suite 209
Cookeville, TN 38501-2603

Mailing address

PO Box 719
Cookeville, TN 38503-0719
Phone (931) 528-2443

Other names 1

  • Columbia Diagnostic Imaging, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

315 N Washington Ave
Ste 209
Cookeville, TN 38501
Phone (615) 528-2443

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1760743116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385030719",
            "telephone_number": "931-528-2443",
            "fax_number": "931-528-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N WASHINGTON AVE",
            "address_2": "SUITE 209",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012603",
            "telephone_number": "931-528-2443",
            "fax_number": "931-528-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE RADIOLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-528-2443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "687678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Diagnostic Imaging, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.