Individual provider Active NPI

Kathryn M. Nutter, M.D.

  • Diagnostic Radiology Physician
  • Natchez, MS
National Provider Identifier
1881615573
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
17966 Issued in MS
Practice address
54 Sergeant Prentiss Dr
Suite 100
Natchez, MS 39120-4726
Phone
(601) 442-2585
Fax
(601) 442-6299
NPI assigned
Jul 21, 2006
Last updated
Mar 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 17966 MS Primary

Addresses

Primary practice location

54 Sergeant Prentiss Dr
Suite 100
Natchez, MS 39120-4726

Mailing address

54 SGT.S.. Prentiss Drive
Suite 100
Natchez, MS 39120
Phone (601) 442-2585

Other identifiers 4

IdentifierTypeStateIssuer
1454249MedicaidLA
009933082MedicaidAL
05683205MedicaidMS
278948MedicaidOR

Other names 1

  • Kathryn Leigh Matheny Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20051103000789 MS Practitioner - Diagnostic Radiology 7719905280 Reassigns benefits to 3 organizations
I20070801000180 LA Practitioner - Diagnostic Radiology 7719905280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Mississippi School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Specialists LLCGroup PAC ID 6305749839, 3 clinicians

Practice addresses (Care Compare)

2021 24TH Ave
Suite B
Meridian, MS 39301-3121
Phone (601) 483-4339

2500 N State St
Jackson, MS 39216-4500
Phone (601) 898-4404

8338 Summa Ave
Suite 100
Baton Rouge, LA 70809-0617
Phone (225) 761-8988

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

Merit-based Incentive Payment System (MIPS)

Final score
79.82 of 100Reported as group
Quality
59.64
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17966MSMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Center of Columbus, LLC CurrentSince Jun 1, 2022 Accepting new patients
Central Ms Diagnostics, LLC CurrentSince Jun 1, 2022 Accepting new patients
Ark-la-Tex Diagnostics, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Northeast Imaging Center CurrentSince Jun 1, 2024 Accepting new patients
Northwest Imaging, LLC CurrentSince May 6, 2024 Accepting new patients
Claiborne County Hospital Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
M. R. Imaging Systems, Inc. CurrentSince May 1, 2024 Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince May 24, 2018 Accepting new patients
Alliance Healthcare Services Inc PastSince Jan 20, 2015 Accepting new patients
Precision Radiology Management of Louisiana LLC Diagnostic Radiology Past Accepting new patients

Locations

4241 Vets Blvd
Ste 200
Metairie, LA 70006

1460 E Bert Kouns Industrial Loop
Ste 708
Shreveport, LA 71105
Phone (318) 425-1001

2630 Courthouse Cir
Flowood, MS 39232
Phone (601) 487-8274

965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

2500 N State St
Ste 4200
Jackson, MS 39216

123 McComb Ave
Port Gibson, MS 39150
Phone (601) 437-5141

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1881615573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 SGT.S.. PRENTISS DRIVE",
            "address_2": "SUITE 100",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "39120",
            "telephone_number": "601-442-2585",
            "fax_number": "601-442-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SERGEANT PRENTISS DR",
            "address_2": "SUITE 100",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204726",
            "telephone_number": "601-442-2585",
            "fax_number": "601-442-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTTER",
        "first_name": "KATHRYN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "17966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454249",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009933082",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05683205",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278948",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "MATHENY",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Natchez, MS

Sources for this page

Verify at the official NPI Registry.