Individual provider Active NPI

Nicolas Cheatham Appleton, M.D.

  • Diagnostic Radiology Physician
  • Keesler AFB, MS
National Provider Identifier
1992078695
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME136873 Issued in FL
Practice address
500 Fisher St
Keesler AFB, MS 39534-2502
Phone
(228) 376-0481
NPI assigned
Feb 12, 2012
Last updated
Apr 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME136873 FL Primary
Diagnostic Radiology Physician 2085R0202X 27599 NE
Diagnostic Radiology Physician 2085R0202X 2021-00679 NC
General Practice Physician 208D00000X 27599 NE

Addresses

Primary practice location

500 Fisher St
Keesler AFB, MS 39534-2502

Mailing address

500 Fisher St
Keesler AFB, MS 39534-2502

Other practice location 1

3551 Roger Brooke Dr
San Antonio Military Medical Center Dept of Radiology
JBSA Ft Sam Houston, TX 78234-4504
Phone (210) 916-3290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210421000478 NC Practitioner - Diagnostic Radiology 8921379173 Reassigns benefits to 1 organization
I20210421000740 TN Practitioner - Diagnostic Radiology 8921379173 Reassigns benefits to 1 organization
I20210525000485 GA Practitioner - Diagnostic Radiology 8921379173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Interventional and Imaging Associates PLLCGroup PAC ID 4688897473, 33 clinicians

Practice addresses (Care Compare)

162 Legacy PT
Clayton, GA 30525-5354
Phone (423) 778-7234

3990 E US 64 Alt
Murphy, NC 28906-6843
Phone (423) 778-7234

975 E 3Rd St
Box 376
Chattanooga, TN 37403-2147
Phone (423) 778-7234

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
85.9
Improvement activities
40
Cost
72.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME136873FLMDDiagnostic Radiology Physician
2021-00679NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Interventional and Imaging Associates, PLLC Diagnostic Radiology CurrentSince Apr 15, 2021 Accepting new patients

Locations

162 Legacy Pt
Clayton, GA 30525
Phone (706) 782-0408

3990 US Highway 64 E
Murphy, NC 28906
Phone (828) 837-5939

975 E 3rd St
#376
Chattanooga, TN 37403
Phone (423) 778-6216

Organizations & group practices 1

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 6

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": "1329004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1992078695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FISHER ST",
            "city": "KEESLER AFB",
            "state": "MS",
            "postal_code": "395342502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FISHER ST",
            "city": "KEESLER AFB",
            "state": "MS",
            "postal_code": "395342502",
            "telephone_number": "228-376-0481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3551 Roger Brooke Dr",
            "address_2": "San Antonio Military Medical Center Dept of Radiology",
            "address_purpose": "LOCATION",
            "city": "JBSA Ft Sam Houston",
            "state": "TX",
            "postal_code": "782344504",
            "country_code": "US",
            "telephone_number": "210-916-3290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "APPLETON",
        "first_name": "NICOLAS",
        "middle_name": "CHEATHAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-12",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME136873",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "27599",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2021-00679",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "27599",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keesler AFB, MS

Sources for this page

Verify at the official NPI Registry.