HIGHLAND RADIOLOGY ASSOCIATES PLLC (NPI# 1831102268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831102268 |
| Entity Type | Organization |
| Organization Name | HIGHLAND RADIOLOGY ASSOCIATES PLLC |
| Practice Address |
111 Highway 70 E Dickson TN 37055 |
| Mailing Address |
Po Box 6070 Dalton GA 30720 |
| Practice Telephone | 8664579896 |
| Practice Fax Number | 7062262283 |
| Mailing Telephone | 8664579896 |
| Mailing Fax Number | 7062662283 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | KENNETH HAWKINS (PRESIDENT GROUP) |
| Authorized Official Telephone | 8664579896 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RAILROAD MEDICARE | CH7179 | 01 |
| TN | 3721245 | 05 |
| Street Address |
111 HIGHWAY 70 E |
| City | DICKSON |
| State | TN |
| Zip Code | 37055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487658951 | Mack W Griffith | Specialist | 111 Highway 70 E, Dickson, TN 37055-2080 | 2005-06-11 |
| 1598302051 | Chansamone Noi Dee | Nurse Practitioner | 111 Highway 70 E, Dickson, TN 37055-2080 | 2019-12-04 |
| 1326533241 | Farhana Nazmin | Physician Assistant | 111 Highway 70 E, Dickson, TN 37055-2080 | 2018-06-22 |
| 1326578634 | John David Mcclurkan Jr. | Nurse Practitioner | 111 Highway 70 E, Dickson, TN 37055-2080 | 2017-06-19 |
| 1689120727 | Hughston Clinic PC | Durable Medical Equipment & Medical Supplies | 111 Highway 70 E, Suite 103, Dickson, TN 37055-2080 | 2016-08-29 |
| 1790158574 | Salient Emergency Physicians, Pllc | Physician Assistant | 111 Highway 70 E, Dickson, TN 37055-2080 | 2015-11-03 |
| 1114390002 | Red Spruce Emergency Physicians, LLC | Physician Assistant | 111 Highway 70 E, Dickson, TN 37055-2080 | 2015-11-02 |
| 1437532157 | Keyrillos Rizg | Internal Medicine | 111 Highway 70 E, Dickson, TN 37055-2080 | 2015-06-30 |
| 1316329675 | Jason Andrew Holc | Internal Medicine | 111 Highway 70 E, Dickson, TN 37055 | 2015-06-23 |
| 1912392382 | Holly Cline | Nurse Practitioner | 111 Highway 70 E, Dickson, TN 37055-2080 | 2015-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406186 | Raven Julia Jackson | Dentist | 445 Tn-46 S, Dickson, TN 37055 | 2020-08-03 |
| 1336767839 | Logan Newman | Student in an Organized Health Care Education/Training Program | 102 Us70 East, Suite 2, Dickson, TN 37055 | 2020-07-10 |
| 1720575012 | Vb Tennessee I Pllc | Dentist | 2027 Thornton Dr, Dickson, TX 37055 | 2018-04-23 |
| 1376075358 | Sharon Elizabeth Sharber | Nurse Practitioner | 111 Highway 70 E Ste E, Dickson, TN 37055 | 2017-03-29 |
| 1992255921 | Karen Alonzo | Occupational Therapy Assistant | 312 N Charlotte St, Dickson, TN 37055 | 2016-10-13 |
| 1356727408 | Aurora Pharmacy Inc | Pharmacy | 318 East College Street, Suite 102, Dickson, TN 37055 | 2015-07-30 |
| 1295121820 | Jeffrey Nicholas Williams | Pharmacy Technician | 120 Brazzell Rd, Dickson, TN 37055 | 2015-04-10 |
| 1760894398 | Joshua A. Vaughn | Physical Therapist | 766 Highway 46 South, Dickson, TN 37055 | 2014-06-02 |
| 1902217292 | Keith Payton | Dentist | 217 Highway 46 Ste D, Dickson, TN 37055 | 2014-05-08 |
| 1073953840 | John Harrison | Dentist | 134 Us-70, Dickson Pediatric Dentistry, Dickson, TN 37055 | 2013-06-26 |
| Find all providers in zip 37055 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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|---|---|---|---|---|
| 1053877373 | Choice Imaging LLC | Clinic/Center | 220 Veterans Pkwy Ste E, Murfreesboro, TN 37128-6436 | 2019-02-11 |
| 1932686318 | Middle Tennessee Imaging, LLC | Clinic/Center | 5700 Temple Rd Ste 102, Nashville, TN 37221-4171 | 2018-07-27 |
| 1972025989 | Middle Tennessee Imaging, LLC | Clinic/Center | 6130 Nolensville Rd Ste 102, Nashville, TN 37211-6813 | 2017-07-11 |
| 1316305089 | Middle Tennessee Imaging, LLC | Clinic/Center | 3754 Murfreesboro Pike Ste 102, Antioch, TN 37013-3878 | 2016-02-09 |
| 1831434687 | Rhc Imaging Center | Clinic/Center | 6590 Summer Knoll Cv, Suite 102, Bartlett, TN 38134-2885 | 2012-12-05 |
| 1043470933 | Vascular and Interventional Radiology Clinic of Jackson | Clinic/Center | 300 Coatsland Dr, Jackson, TN 38301-3908 | 2008-06-13 |
| 1386832368 | Lifescan Tennessee, LLC | Clinic/Center | 830 Suncrest Dr, Unit 2, Gray, TN 37615-3424 | 2007-10-04 |
| 1225259518 | C and D Associates | Clinic/Center | 795 Ridge Lake Blvd Ste 107, Memphis, TN 38120-9475 | 2007-05-02 |
| 1528193943 | Bristol Imaging Center, LLC. | Clinic/Center | 1230 Volunteer Pkwy, Bristol, TN 37620-4628 | 2007-02-23 |
| 1518034743 | Elite Ultrasound Imaging, LLC | Clinic/Center | 1033 East Old Hickory Blvd, Madison, TN 37115 | 2006-11-30 |
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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.