SOUTH ALABAMA DIAGNOSTIC IMAGING, P.C.
NPI 1477615938
Radiology - Diagnostic Radiology in Geneva, AL

Active since December 14, 2006
1200 W MAPLE AVE, GENEVA, AL 36340(334) 684-7156(334) 684-7709 Get Directions Write a Review

NPPES record last updated: June 14, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 14, 2019, Dec 23, 2015, Dec 14, 2015 (3 updates tracked since 2015).

About South Alabama Diagnostic Imaging, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH ALABAMA DIAGNOSTIC IMAGING, P.C. (NPI 1477615938) is a healthcare organization registered as a diagnostic radiology in Geneva, Alabama and active in the NPI registry since December 2006. The organization lists John C Tomberlin, Owner, as its authorized official.

NPPES Registry Identity

NPI1477615938
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSOUTH ALABAMA DIAGNOSTIC IMAGING, P.C.
Location Address1200 W MAPLE AVEGeneva, AL 36340-1642
Mailing AddressPo Box 1928Bainbridge, GA 39818-1928 · (334) 684-3655 · Fax (334) 684-3312
Fax(334) 684-7709
Organization SubpartNo
Authorized OfficialJohn C TomberlinOwner · (334) 684-7156
Enumeration DateDecember 14, 2006
Last NPPES UpdateJune 14, 20193 updates tracked since enumeration
✔ NPI 1477615938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in AL · 10925
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1200 W MAPLE AVE, Geneva, AL 36340

Other Identifiers 2

Other047944600FL · Floridia Medicaid
Medicaid000085322AL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Alabama Diagnostic Imaging, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to South Alabama Diagnostic Imaging, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Diagnostic Radiology
NPI 1275511370
301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
Fort Rucker, AL 36362
(334) 255-7387
✔ PECOS✔ Accepts Medicare22 mi

Source: 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 South Alabama Diagnostic Imaging, P.C.'s NPI number?

The NPI number for South Alabama Diagnostic Imaging, P.C. is 1477615938. It was assigned to this organization in the NPPES registry on December 14, 2006.

Where is South Alabama Diagnostic Imaging, P.C. located?

South Alabama Diagnostic Imaging, P.C. is located at 1200 W Maple Ave, Geneva, AL 36340. The listed phone number is (334) 684-7156.

What is South Alabama Diagnostic Imaging, P.C.'s specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is South Alabama Diagnostic Imaging, P.C. enrolled in Medicare?

Yes. South Alabama Diagnostic Imaging, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Alabama Diagnostic Imaging, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Diagnostic Radiology) reassigns their Medicare billing to South Alabama Diagnostic Imaging, P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does South Alabama Diagnostic Imaging, P.C. accept?

Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list South Alabama Diagnostic Imaging, P.C. 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 South Alabama Diagnostic Imaging, P.C. was last updated on June 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.