Advanced Medical Imaging of Greenwood LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

ADVANCED MEDICAL IMAGING OF GREENWOOD LLC

Practice address

410 E Washington St
Greenwood, MS 38930-4539

Phone

(662) 335-0183

NPI assigned

Apr 6, 2021

Organization subpart

No

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

Authorized official

Name

Rhyan Ferguson

Title

Manager

Phone

(662) 335-0183

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 2

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

• Ravi V Patel, M.D

  • Nephrology Physician
  • Greenville, MS
  • NPI 1174971006

  MS

  Medicare reassignment NPD
• John L Herzog Sr., MD

  • Cardiovascular Disease Physician
  • Greenville, MS
  • NPI 1093734949

  MS

  Medicare reassignment

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1982283008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E WASHINGTON ST STE B",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E WASHINGTON ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304539",
            "telephone_number": "662-335-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL IMAGING OF GREENWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "RHYAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "662-335-0183"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Ables, M. ED.
• Adam Weems D.M.D., P.a.
• Laurther Adams
• Louise Adams, MA, PLPC
• Michael Murry Adams Jr., D.O.
• Advanced Rehabilitation, LLC
• Hailey Alderman
• Melinda Sanders Alderman, PHARMD
• Alliance Healthcare Services Inc
• Ztearreyo Amos

• All providers in Greenwood, MS
• Vascular & Interventional Radiology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.