MEDICAL IMAGING, LLC
NPI 1194772111
Radiology - Diagnostic Radiology in Tupelo, MS
About Medical Imaging, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDICAL IMAGING, LLC (NPI 1194772111) is a healthcare organization registered as a diagnostic radiology in Tupelo, Mississippi and active in the NPI registry since May 2006. The organization lists Marshall Gray Edmondson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
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)
Medical Imaging, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 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
25Medicare enrollment records show 25 clinicians reassign Medicare billing to Medical Imaging, LLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 25Source: 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 Medical Imaging, LLC's NPI number?
The NPI number for Medical Imaging, LLC is 1194772111. It was assigned to this organization in the NPPES registry on May 27, 2006.
Where is Medical Imaging, LLC located?
Medical Imaging, LLC is located at 616 Crossover Rd, Tupelo, MS 38801. The listed phone number is (662) 620-7101.
What is Medical Imaging, LLC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Medical Imaging, LLC enrolled in Medicare?
Yes. Medical Imaging, LLC is registered in the Medicare PECOS enrollment system.
When is Medical Imaging, LLC'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 March 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 Medical Imaging, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 2 Medicare specialties reassign their Medicare billing to Medical Imaging, LLC. 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 (23) and Interventional Radiology (2). Of these, 8 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Medical Imaging, LLC accept?
Health plans from Cigna Healthcare and Molina Healthcare list Medical Imaging, LLC 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 Medical Imaging, LLC was last updated on July 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.
# Medical Imaging, Llc · NPI 1194772111
Diagnostic Radiology organization in Tupelo, Mississippi. Organization record, active in the CMS NPPES registry since May 27, 2006.
## Identity
- **NPI:** 1194772111 (Entity type: Organization)
- **Enumerated:** May 27, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Marshall Edmondson, PRESIDENT
## Practice location
- **Address:** 616 CROSSOVER RD, Tupelo, MS 38801-4944
- **Phone:** (662) 620-7101 · **Fax:** (662) 842-1457
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 25 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (23), Interventional Radiology (2); 8 practice at this address and 9 within 10 miles; [full list](https://npiprofile.com/npi/1194772111/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 9, 2013
- **Other identifiers:** Medicaid 529921640 (AL); Medicare ID-Type Unspecified C03203 (MS); Medicaid 04984051 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1194772111) · Data from the CMS NPPES public registry.