SOUTHERN TENNESSEE RADIOLOGY
NPI 1487680732
Clinic/Center - Radiology in Winchester, TN
- Organization
- Clinic/Center
- Radiology
- CLIA Number: 44D2284607
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-26-2027
About SOUTHERN TENNESSEE RADIOLOGY
This page provides the complete NPI Profile along with additional information for Southern Tennessee Radiology, a provider established in Winchester, Tennessee operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1487680732 assigned on June 2006. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Paul D Ellis Md (Owner)
- NPI
- 1487680732 Verify this NPI
- Provider Name
- SOUTHERN TENNESSEE RADIOLOGY
- Entity Type
- Organization
- Location Address
- 185 HOSPITAL RD WINCHESTER, TN 37398
- Location Phone
- (866) 457-9896
- Location Fax
- (706) 226-2283
- Mailing Address
- PO BOX 2125 DALTON, GA 30720
- Mailing Phone
- (866) 457-9896
- Mailing Fax
- (706) 226-2283
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-25-2006
- Last Update Date
- 10-23-2007
- Code Navigator
According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is for profit and was certified on 01-01-2003 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Radiology
- Taxonomy Code
- 261QR0200X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3732584 | MEDICAID (05) | TN | |
| DE2147 | OTHER (01) | TN | RAILROAD MEDICARE |
| 3732584 | MEDICARE PIN (08) | TN |
Inpatient Rehabilitation Information
The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.
- SOUTHERN TENNESSEE RADIOLOGY has an ownership type of For profit
- The facility received its Medicare certification on 01-01-2003
| Medical Condition | Times Conditions Treated |
|---|---|
| All other conditions | 33 |
| Brain disease or condition (non-traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Brain injury (traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Hip or femur fracture | 22 |
| Hip or knee replacement, amputation or other bone or joint condition | 32 |
| Nervous system disorder (excluding stroke) | Less than 11 - The number of cases/patient stays is too small to report. |
| Spinal cord disease or condition (non-traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Spinal cord injury (traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Stroke | 34 |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D2284607
- Facility Type
- Physician Office
- Certificate Effective Date
- June 27, 2025
- Certificate Expiration Date
- June 26, 2027
- Laboratory Director
- ASHLEY DE WITT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southern Tennessee Radiology to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SOUTHERN TENNESSEE RADIOLOGY
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WINCHESTER, TN 37398
WINCHESTER, TN 37398
WINCHESTER, TN 37398
WINCHESTER, TN 37398
WINCHESTER, TN 37398
WINCHESTER, TN 37398
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487680732, enumerated as an "organization" on June 25, 2006.
The provider is located at 185 HOSPITAL RD WINCHESTER, TN 37398 and the phone number is (866) 457-9896.
Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.
The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.
