Associated Radiologists PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ASSOCIATED RADIOLOGISTS PA

Practice address

108 Lance Alworth Dr
Brookhaven, MS 39601-2300

Phone

(601) 833-6011

Fax

(601) 835-5413

NPI assigned

Oct 18, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Saundra Rena Shannon

Title

Office Manager

Phone

(601) 835-5411

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 2

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.

• Jani L Purvis, MD

  • Diagnostic Radiology Physician
  • Brookhaven, MS
  • NPI 1063402782
  Medicare reassignment NPD
• Prentiss Lee Smith Sr., MD

  • Diagnostic Radiology Physician
  • Brookhaven, MS
  • NPI 1164412722
  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790774263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 764",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396020764",
            "telephone_number": "601-833-6011",
            "fax_number": "601-835-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LANCE ALWORTH DR",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012300",
            "telephone_number": "601-833-6011",
            "fax_number": "601-835-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED RADIOLOGISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "SAUNDRA",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-835-5411",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Arant
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• Kierra Armstrong
• Ascend Counseling and Consulting Services, LLC
• Aspen Properties, LLC
• Olivia Jennings Austin, DNP, APRN, FNP-C
• Brandon Baker
• Brandt Larue Baker, RPH
• Mac L Baker, DDS
• Bakers Pharmacy Inc

• Diagnostic Radiology Physician in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• Diagnostic Radiology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.