PREMIER RADIOLOGY, INC – NPI #1083669121
Radiology

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

PREMIER RADIOLOGY, INC is a radiologist located in TUPELO, MS. NPPES has assigned the NPI number 1083669121 to PREMIER RADIOLOGY, INC on May 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 previously updated about 6 years ago on Jun 23, 2020. 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 PREMIER RADIOLOGY, INC below.

NPI Profile for
PREMIER RADIOLOGY, INC

NPI Number
1083669121
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
PREMIER RADIOLOGY, INC
Primary location
620 CROSSOVER ROAD
TUPELO, MS 38801
Phone: (662) 620-7101 Fax:
Mailing address
620 CROSSOVER RD
TUPELO, MS 38801-4944
Phone: (662) 842-1758 Fax: (662) 844-8298
Organization Subpart
No
Authorized Official
JEFFREY HOWARD
PRESIDENT
Phone: (662) 620-7102
Updated
Certification Date
Jun 23, 2020

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 PREMIER RADIOLOGY, INC

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.

DescriptionIssuerStateIdentifier
OTHERMEDICAREAL2954
OTHERRAILROAD MEDICAREMSCE6077
MEDICAIDAL529700060
MEDICAIDMS9011191
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)

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.