MID-SOUTH IMAGING & THERAPEUTICS, P.A. – NPI #1043260763
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

MID-SOUTH IMAGING & THERAPEUTICS, P.A. is a radiologist located in GERMANTOWN, TN. NPPES has assigned the NPI number 1043260763 to MID-SOUTH IMAGING & THERAPEUTICS, P.A. on May 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was last updated on Oct 16, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MID-SOUTH IMAGING & THERAPEUTICS, P.A. below.

NPI Profile for
MID-SOUTH IMAGING & THERAPEUTICS, P.A.

NPI Number
1043260763
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MID-SOUTH IMAGING & THERAPEUTICS, P.A.
Primary location
7600 WOLF RIVER BLVD.
#200
GERMANTOWN, TN 38138
Phone: (901) 747-1000 Fax: (901) 747-1001
3 Other location(s):
55 Physicians Ln
Southaven, MS 38671-9569
Phone: (901) 747-1007
Fax: (662) 996-2214
555 Perkins Ext Ste 100&200
Memphis, TN 38117-4410
Phone: (901) 747-1000
Fax: (901) 747-1001
6286 Briarcrest Ave Ste 300
Memphis, TN 38120-4023
Phone: (901) 747-1007
Fax: (901) 531-7199
Mailing address
PO BOX 5083
MEMPHIS, TN 38101-5083
Phone: (901) 383-8860 Fax: (901) 383-8985
Organization Subpart
No
Authorized Official
JOHN ELLZEY
PRESIDENT
Phone: (901) 473-6406
Updated
Certification Date
Oct 16, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MID-SOUTH IMAGING & THERAPEUTICS, P.A.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherGROUP AR BCBS #AR86018
otherGROUP TN BCBS #TN0022687
medicaidAR107365002
medicaidMO508212206
medicaidMS09013816
medicaidTN3373325
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
367500000X
- Nurse Anesthetist, Certified Registered
174400000X
- Specialist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.