IMAGING ASSOCIATES OF NORTH MISSISSIPPI MAGNOLIA PLLC (NPI# 1578512919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578512919 |
Entity Type | Organization |
Organization Name | IMAGING ASSOCIATES OF NORTH MISSISSIPPI MAGNOLIA PLLC |
Practice Address |
611 Alcorn Dr Radiology Dept. Corinth MS 38834-9368 |
Mailing Address |
499 Gloster Creek Vlg Suite J-7 Tupelo MS 38801-4600 |
Practice Telephone | 6622931475 |
Mailing Telephone | 6628211831 |
Mailing Fax Number | 6628211815 |
Enumeration Date | 2006-05-10 |
Last Update Date | 2012-03-12 |
Authorized Official Name | DR. CHARLES MICHAEL CURRIE (MANAGING MEMBER) |
Authorized Official Telephone | 6628211831 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DEPT OF LABOR PROVIDER # | 349213300 | 01 | |
MEDICARE RAILROAD | CK5124 | 01 | |
MS | 09016126 | 05 |
Street Address |
611 ALCORN DR RADIOLOGY DEPT. |
City | CORINTH |
State | MS |
Zip Code | 38834-9368 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609876739 | Clyde Maxwell Hutchinson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 611 Alcorn Dr, Suite 200, Corinth, MS 38834-9321 | 2005-07-29 |
1073122305 | Caitlin Bridget Corker Relph | Pharmacist | 611 Alcorn Dr, Corinth, MS 38834-9388 | 2020-07-22 |
1316564651 | Bennett Davis | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-02 |
1902423155 | John Raper | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-02 |
1447877873 | William David Wynn | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-01 |
1275150625 | Brian Chase Bennett | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-01 |
1851918213 | Courtney Kathleen Rich | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9388 | 2020-07-01 |
1114544590 | Abdalaziz Tabash | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-01 |
1750908315 | Tara George | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-06-30 |
1154947398 | Chelsey Danielle Stewart | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-06-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
1962046680 | Wanda Lee Kilpatrick | Technician | 1206 Breckenridge St., Corinth, MS 38834 | 2019-11-06 |
1215595756 | Alanna Nunez Heflin | Dentist | 3127 E Shiloh Rd, Corinth, MS 38834 | 2019-05-30 |
1629530795 | A Port In The Storm (apits) | Clinic/Center | 102 N. Cass Street, Suite B, Corinth, MS 38834 | 2019-04-05 |
1538654199 | Jerry Wayne Latch | Durable Medical Equipment & Medical Supplies | 206 N Fillmore St, Corinth, MS 38834 | 2018-06-26 |
1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
1164938650 | Pediatric Dentistry of Corinth | Dentist | 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 | 2017-12-19 |
1467964536 | King Speech-language Therapy, LLC | Speech-Language Pathologist | 2203 Hwy 72 East, Corinth, MS 38834 | 2017-10-30 |
1841669728 | Glenda Gatlin | Social Worker | 14 Cr 305, Corinth, MS 38834 | 2015-09-21 |
1649646555 | Amanda Word | Social Worker | 303 North Madison Street, Corinth, MS 38834 | 2015-08-14 |
Find all providers in zip 38834 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487858569 | Jeffrey Collins Markham | Radiology | 3305 Corinth Pkwy, Corinth, TX 76208-5380 | 2007-06-13 |
1295787968 | Imaging Consultants of Denton | Radiology | 3305 Corinth Parkway, Corinth, TX 76208 | 2006-05-17 |
1740689165 | Jeffrey C. Markham, Md, Pa | Radiology | 3305 Corinth Pkwy, Atrium Medical Center, Corinth, TX 76208-5380 | 2014-08-21 |
1386073294 | Magnolia Imaging Associates, Pllc | Radiology | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2013-11-01 |
1184902975 | Ici 24 7 PC | Radiology | 3305 Corinth Pkwy, Corinth, TX 76208-5380 | 2011-07-27 |
1215192588 | Jason Michael Murphree | Radiology | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2008-07-25 |
1992719181 | Robert Graham Sexton | Radiology | 611 Alcorn Dr, Dept. of Radiology, Corinth, MS 38834-9368 | 2006-07-27 |
1356397863 | Reuben L. Chrestman IIi | Radiology | 611 Alcorn Dr, Dept. of Radiology, Corinth, MS 38834-9368 | 2006-05-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184185092 | North Mississippi Radiology Services LLC | Radiology | 7420 Guthrie Dr N Ste 105, Southaven, MS 38671-5857 | 2019-03-26 |
1063890754 | Phil Otis Nelson Jr. | Radiology | 146 Ridge Dr, Jackson, MS 39216-4109 | 2015-05-13 |
1851709851 | Telerad of Ms Account Management LLC | Radiology | 3201 Oakleigh Cir, Ocean Springs, MS 39564-5861 | 2014-07-23 |
1033532825 | Nadia Aboussouan Tyson | Radiology | 675 N Livingston Rd, Ridgeland, MS 39157-5034 | 2014-01-29 |
1124459490 | James Vaiden Ferguson Jr. | Radiology | 3638 Lyles Dr, Oxford, MS 38655-5709 | 2013-12-11 |
1487904173 | Mid Delta Radiology Associates, LLC | Radiology | 130 River Club Cir, Clarksdale, MS 38614-9725 | 2012-09-11 |
1043587629 | Clifton L Hester Jr. | Radiology | 607 E Leake St, Clinton, MS 39056-4300 | 2011-11-26 |
1912298498 | Lisa Mabry Smith | Radiology | 14257 Dedeaux Rd, Gulfport, MS 39503-3369 | 2011-05-02 |
1134446743 | Thomas Edward Panico | Radiology | 4213 Lakeland Drive, Flowood, MS 39232-9212 | 2010-04-23 |
1487808408 | Gulf Shores Radiology Assoicates | Radiology | 1207 Wood Duck Cv, Oxford, MS 38655-7347 | 2008-11-05 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.