ASSOCIATED RADIOLOGISTS PA
NPI 1790774263
Radiology - Diagnostic Radiology in Brookhaven, MS

NPI Status: Active since October 18, 2005

Contact Information

108 LANCE ALWORTH DR
BROOKHAVEN, MS
ZIP 39601
Phone: (601) 833-6011
Fax: (601) 835-5413

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  • Organization
  • Radiology
  • Diagnostic Radiology
  • Accepts Insurance

About ASSOCIATED RADIOLOGISTS PA

This page provides the complete NPI Profile along with additional information for Associated Radiologists Pa, a provider established in Brookhaven, Mississippi operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1790774263 assigned on October 2005. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Saundra Rena Shannon (Office Manager)

NPI
1790774263
Provider Name
ASSOCIATED RADIOLOGISTS PA
Entity Type
Organization
Location Address
108 LANCE ALWORTH DR BROOKHAVEN, MS 39601
Location Phone
(601) 833-6011
Location Fax
(601) 835-5413
Mailing Address
PO BOX 764 BROOKHAVEN, MS 39602
Mailing Phone
(601) 833-6011
Mailing Fax
(601) 835-5413
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-18-2005
Last Update Date
08-22-2020
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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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. SAUNDRA RENA SHANNON

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(601) 835-5411

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
09011113MEDICAID (05)MS 

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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.
1790774263
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271801478212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 4 + 7 + 8 + 2 + 1 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1790774263 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164412722MR. PRENTISS LEE SMITH SR. MD
Individual
Radiology (Diagnostic Radiology)108 LANCE ALWORTH DR
BROOKHAVEN, MS 39601
(601) 833-8511
1063402782MRS. JANI L PURVIS MD
Individual
Radiology (Diagnostic Radiology)108 LANCE ALWORTH DR
BROOKHAVEN, MS 39601
(601) 833-8511

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790774263, enumerated in the NPI registry as an "organization" on October 18, 2005

The provider is located at 108 Lance Alworth Dr Brookhaven, Ms 39601 and the phone number is (601) 833-6011

This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider might be accepting Accepts: Molina Healthcare, 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 October 18, 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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