Active NPI
Cumberland Radiology Group PC
- Diagnostic Radiology Physician
- Crossville, TN
National Provider Identifier
1962510529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- CUMBERLAND RADIOLOGY GROUP PC
- Practice address
- 421 S Main St
Crossville, TN 38555-5048 - Phone
- (931) 484-9511
- NPI assigned
- Aug 25, 2006
- Last updated
- Mar 16, 2012
- 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
- James Stallworth
- Title
- President
- Phone
- (931) 484-0048
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
421 S Main St
Crossville, TN 38555-5048
Mailing address
PO Box 3139
Crossville, TN 38557-3139
Phone (931) 484-0048
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3386332 | Medicaid | TN | |
| CC1089 | Other | RR MEDICARE | |
| 1962510529 | Other | NPI |
National Provider Directory
National Provider DirectoryLocations
36 Fourth St
Crossville, TN 38555
Phone (615) 484-0048
Practitioners & affiliated clinicians
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.
-
- Diagnostic Radiology Physician
- Crossville, TN
- NPI 1619954955
-
- Diagnostic Radiology Physician
- Crossville, TN
- NPI 1316101835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331856000000",
"number": "1962510529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3139",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385573139",
"telephone_number": "931-484-0048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 S MAIN ST",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385555048",
"telephone_number": "931-484-9511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUMBERLAND RADIOLOGY GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2012-03-16",
"status": "A",
"authorized_official_last_name": "STALLWORTH",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "931-484-0048"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3386332",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CC1089",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1962510529",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crossville, TN
- Cumberland Neuro Rehab Center
- Cumberland Occupational and Urgent Care Center LLC
- Cumberland Optical
- Cumberland Physician Group, LLC
- Cumberland Podiatric Surgeons Inc
- Cumberland Rheumatology
- Cumberland Ridge Assisted Living Facility
- Cumberland Special Care Pharmacy LLC (Cumberland Vital Care)
- Cumberland Special Care Pharmacy LLC
- Cumberland Vital Care, LLC (Cumberland Vital Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.