SMB RADIOLOGY P A
NPI 1609877356
Radiology - Diagnostic Radiology in Pascagoula, MS

Active since August 03, 2005
1365 MARKET ST, PASCAGOULA, MS 39567(228) 762-1353(228) 762-1359 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Smb Radiology P A NPPES

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

SMB RADIOLOGY P A (NPI 1609877356) is a healthcare organization registered as a diagnostic radiology in Pascagoula, Mississippi and active in the NPI registry since August 2005. The organization lists Clifton T Leatherbury, President, as its authorized official.

NPPES Registry Identity

NPI1609877356
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSMB RADIOLOGY P A
Location Address1365 MARKET STPascagoula, MS 39567-6604
Mailing AddressPo Box 749627Atlanta, GA 30374-9627 · (866) 264-3435 · Fax (706) 596-6704
Fax(228) 762-1359
Organization SubpartNo
Authorized OfficialClifton T LeatherburyPresident · (228) 762-1353
Enumeration DateAugust 3, 2005
Last NPPES UpdateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
NPI 1609877356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1365 MARKET ST, Pascagoula, MS 39567

Other Identifiers 1

Medicaid09014149MS

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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 Smb Radiology P A's NPI number?

The NPI number for Smb Radiology P A is 1609877356. It was assigned to this organization in the NPPES registry on August 3, 2005.

Where is Smb Radiology P A located?

Smb Radiology P A is located at 1365 Market St, Pascagoula, MS 39567. The listed phone number is (228) 762-1353.

What is Smb Radiology P A's specialty?

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

What insurance does Smb Radiology P A accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Smb Radiology 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 Smb Radiology P A was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.