FAYETTEVILLE MRI, LLC
NPI 1710972419
Clinic/Center - Radiology in Fayetteville, TN
NPI Status: Active since September 19, 2005
Contact Information
106 MEDICAL CENTER BLVD
FAYETTEVILLE, TN
ZIP 37334
Phone: (937) 438-7344
- Organization
- Clinic/Center
- Radiology
- Accepts Insurance
About FAYETTEVILLE MRI, LLC
This page provides the complete NPI Profile along with additional information for Fayetteville Mri, Llc, a provider established in Fayetteville, Tennessee operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1710972419 assigned on September 2005. The practitioner's primary taxonomy code is 261QR0200X with license number NA (IN). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Mark B Gabriel (Principal)
- NPI
- 1710972419
- Provider Name
- FAYETTEVILLE MRI, LLC
- Entity Type
- Organization
- Location Address
- 106 MEDICAL CENTER BLVD FAYETTEVILLE, TN 37334
- Location Phone
- (937) 438-7344
- Mailing Address
- 4636 LEBANON PIKE PMB 107 HERMITAGE, TN 37076
- Mailing Phone
- (931) 438-7344
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-19-2005
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Radiology
- Taxonomy Code
- 261QR0200X
- Type
- Ambulatory Health Care Facilities
- License No.
- NA
- License State
- IN
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Copay Focus (No Referrals) - EPO
- UHC Bronze Copay Focus+ (Dental + Vision, No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
- UHC Bronze Value (No Referrals) - EPO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Advantage (No Referrals) - EPO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - EPO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Copay Focus (No Referrals) - EPO
- UHC Gold Standard (No Referrals) - EPO
- UHC Silver Advantage (No Referrals) - EPO
- UHC Silver Advantage+ (Dental + Vision, No Referrals) - EPO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Silver Copay Focus (No Referrals) - EPO
- UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
- UHC Silver Standard (No Referrals) - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3790830 | MEDICAID (05) | TN | |
| 1640521 | OTHER (01) | TN | UNITED HEALTHCARE |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 1 | 0 | 9 | 7 | 2 | 4 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 18 | 7 | 4 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 1 + 8 + 7 + 4 + 4 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1710972419 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1447243316 | MICHAEL W KNIGHT CRNA Individual | Registered Nurse | 106 MEDICAL CENTER BLVD FAYETTEVILLE, TN 37334 (931) 438-1100 |
| 1881687754 | STEVEN TROY WILLIAMS CRNA Individual | Registered Nurse | 106 MEDICAL CENTER BLVD FAYETTEVILLE, TN 37334 (931) 438-1100 |
| 1124067723 | WILLIAM R NORSKOV JR. MD Individual | Emergency Medicine | 106 MEDICAL CENTER BLVD FAYETTEVILLE, TN 37334 (931) 438-1100 |
| 1902048010 | LINCOLN MEDICAL CENTER HOSPITALIST Organization | Hospitalist | 106 MEDICAL CENTER BLVD FAYETTEVILLE, TN 37334 (931) 438-7482 |
| 1184988941 | DR. JESSICA ANNE MCCORMICK PHARM D Individual | Pharmacist | 106 MEDICAL CENTER BLVD FAYETTEVILLE, TN 37334 (931) 438-7400 |
| 1023202223 | MRS. SAMANTHA LEA STEPHENS PA-C Individual | Physician Assistant | 106 MEDICAL CENTER BLVD FAYETTEVILLE, TN 37334 (931) 438-7500 |
| 1629024914 | LINCOLN MEDICAL CENTER Organization | General Acute Care Hospital (Rural) | 106 MEDICAL CENTER BLVD FAYETTEVILLE, TN 37334 (931) 438-1100 |
| 1629450614 | MR. WILLIAM DANIEL AGACNP-BC Individual | Nurse Practitioner (Acute Care) | 106 MEDICAL CENTER BLVD FAYETTEVILLE, TN 37334 (931) 438-1100 |
| 1477648558 | WILLIAM D LAYMAN MD Individual | Radiology (Diagnostic Radiology) | 106 MEDICAL CENTER BLVD FAYETTEVILLE, TN 37334 (866) 457-9896 |
| 1295778579 | LINCOLN MEDICAL CENTER Organization | Pharmacy (Long Term Care Pharmacy) | 106 MEDICAL CENTER BLVD FAYETTEVILLE, TN 37334 (931) 438-7400 |
| 1972052561 | LINCOLN ANESTHESIA SERVICES PLLC Organization | Nurse Anesthetist, Certified Registered | 106 MEDICAL CENTER BLVD ATTN: PATSY A. LANGFORD, CRNA - ANESTHESIA DEPT FAYETTEVILLE, TN 37334 (931) 438-7594 |
| 1952394876 | JOHN C COMPTON CRNA Individual | Nurse Anesthetist, Certified Registered | 106 MEDICAL CENTER BLVD FAYETTEVILLE, TN 37334 (931) 438-1100 |
| 1235542333 | LINCOLN MEDICAL CENTER AMBULANCE SERVICE Organization | Ambulance (Land Transport) | 106 MEDICAL CENTER BLVD FAYETTEVILLE, TN 37334 (931) 438-7434 |
| 1992947568 | MS. SANDRA KILBURN DANIEL ACNP-BC Individual | Nurse Practitioner (Family) | 106 MEDICAL CENTER BLVD FAYETTEVILLE, TN 37334 (931) 438-1100 |
| 1144954728 | HH HEALTH SYSTEM - LINCOLN INC Organization | Hospice Care, Community Based | 106 MEDICAL CENTER BLVD FAYETTEVILLE, TN 37334 (931) 433-8088 |
| 1255066460 | HH HEALTH SYSTEM - LINCOLN INC Organization | General Acute Care Hospital (Rural) | 106 MEDICAL CENTER BLVD FAYETTEVILLE, TN 37334 (931) 438-1100 |
| 1487389698 | HH HEALTH SYSTEM - LINCOLN INC Organization | Ambulance (Land Transport) | 106 MEDICAL CENTER BLVD FAYETTEVILLE, TN 37334 (931) 438-1100 |
| 1508590183 | HH HEALTH SYSTEM - LINCOLN INC Organization | Home Health | 106 MEDICAL CENTER BLVD FAYETTEVILLE, TN 37334 (931) 433-8088 |
| 1629832985 | MR. DANIEL LAWRENCE BROWN PA-C Individual | Physician Assistant | 106 MEDICAL CENTER BLVD FAYETTEVILLE, TN 37334 (931) 438-1100 |
| 1750126959 | LINCOLN MEDICAL HOME HEALTH AND HOSPICE Organization | Hospice Care, Community Based | 106 MEDICAL CENTER BLVD FAYETTEVILLE, TN 37334 (931) 433-8088 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710972419, enumerated in the NPI registry as an "organization" on September 19, 2005
The provider is located at 106 Medical Center Blvd Fayetteville, Tn 37334 and the phone number is (937) 438-7344
This medical organization specializes in Clinic/Center with taxonomy code 261QR0200X with a focus in Radiology
The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 19, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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