MID-SOUTH IMAGING & THERAPEUTICS, P.A.
NPI 1043260763
Radiology - Diagnostic Radiology in Germantown, TN
About Mid-south Imaging & Therapeutics, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MID-SOUTH IMAGING & THERAPEUTICS, P.A. (NPI 1043260763) is a healthcare organization registered as a diagnostic radiology in Germantown, Tennessee and active in the NPI registry since May 2006. The organization maintains 3 additional practice locations and lists John A Ellzey, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 3
Other Identifiers 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mid-south Imaging & Therapeutics, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
101Medicare enrollment records show 101 clinicians reassign Medicare billing to Mid-South Imaging & Therapeutics, P.A., which bills Medicare for the services they deliver. Of these, 24 practice at this address and 58 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 101Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mid-South Imaging & Therapeutics, P.A.'s NPI number?
The NPI number for Mid-South Imaging & Therapeutics, P.A. is 1043260763. It was assigned to this organization in the NPPES registry on May 11, 2006.
Where is Mid-South Imaging & Therapeutics, P.A. located?
Mid-South Imaging & Therapeutics, P.A. is located at 7600 Wolf River Blvd. #200, Germantown, TN 38138. The listed phone number is (901) 747-1000.
What is Mid-South Imaging & Therapeutics, P.A.'s specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Mid-South Imaging & Therapeutics, P.A. enrolled in Medicare?
Yes. Mid-South Imaging & Therapeutics, P.A. is registered in the Medicare PECOS enrollment system.
When is Mid-South Imaging & Therapeutics, P.A.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mid-South Imaging & Therapeutics, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 101 clinicians in 5 Medicare specialties reassign their Medicare billing to Mid-South Imaging & Therapeutics, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (74), Certified Registered Nurse Anesthetist (CRNA) (12) and Nurse Practitioner (10). Of these, 24 practice at this address and 58 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mid-South Imaging & Therapeutics, P.A. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Mid-South Imaging & Therapeutics, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mid-South Imaging & Therapeutics, P.A. was last updated on October 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mid-South Imaging & Therapeutics, P.a. · NPI 1043260763
Diagnostic Radiology organization in Germantown, Tennessee. Organization record, active in the CMS NPPES registry since May 11, 2006.
## Identity
- **NPI:** 1043260763 (Entity type: Organization)
- **Enumerated:** May 11, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** John Ellzey, PRESIDENT
## Practice location
- **Address:** 7600 WOLF RIVER BLVD., #200, Germantown, TN 38138
- **Phone:** (901) 747-1000 · **Fax:** (901) 747-1001
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 101 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (74), Certified Registered Nurse Anesthetist (CRNA) (12), Nurse Practitioner (10); 24 practice at this address and 58 within 10 miles; [full list](https://npiprofile.com/npi/1043260763/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2026
- **Other identifiers:** Medicaid 107365002 (AR); Medicaid 3373325 (TN); Other 0022687 (TN); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1043260763) · Data from the CMS NPPES public registry.