1. Home
  2. Directory
  3. Tennessee
  4. Jackson
  5. Radiology
  6. NPI Profile

JACKSON RADIOLOGY ASSOCIATES PA
NPI 1699700716
Radiology - Diagnostic Radiology in Jackson, TN

Active since July 11, 2006CLIA 44D2313648 · Waiver
31 SANDSTONE CIR, JACKSON, TN 38305(731) 240-1747(731) 240-1755 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 28, 2026, Dec 26, 2017 (2 updates tracked since 2017).

About Jackson Radiology Associates Pa NPPES

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

JACKSON RADIOLOGY ASSOCIATES PA (NPI 1699700716) is a healthcare organization registered as a diagnostic radiology in Jackson, Tennessee and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 4, 2026, maintains a secondary practice location in Jackson, and lists Gregory Bruno, President, as its authorized official.

NPPES Registry Identity

NPI1699700716
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameJACKSON RADIOLOGY ASSOCIATES PA
Location Address31 SANDSTONE CIRJackson, TN 38305-2073
Mailing AddressPo Box 678210Dallas, TX 75267-8210 · (800) 841-4236 · Fax (423) 826-1286
Phone(731) 240-1747
Fax(731) 240-1755
Organization SubpartNo
Authorized OfficialGregory BrunoPresident · (731) 240-1747
Enumeration DateJuly 11, 2006
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1699700716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ 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.

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X
Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X
Also ListedRadiology · Therapeutic RadiologyTaxonomy 2085R0203X
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X
Also ListedRadiology · Radiological PhysicsTaxonomy 2085R0205X
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X
Also ListedNurse PractitionerTaxonomy 363L00000X
31 SANDSTONE CIR, Jackson, TN 38305
Open in Google Maps ↗

Secondary Practice Location 1

Location 1620 Skyline DrJackson, TN 38301-3923 · Phone (731) 240-1747

Other Identifiers 6

Medicaid3729238TN
Other315752CO · Medicare Pin
OtherCG710BNevada Medicare
OtherCG753ZCA · California Mdcr
OtherDD9799Railroad Medicare
OtherCG710CHI · Palmetto Hawaii

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2313648

Jackson Radiology Associates · Jackson, TN
Active · expires Nov 4, 2026
CLIA Number44D2313648
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorKathleen Hamrick
Laboratory Phone(731) 240-1747
Laboratory LocationJackson Radiology Associates31 Sandstone Circle, Jackson, TN 38305
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAIGE YOUSEF
Radiology (Diagnostic Radiology)
31 SANDSTONE CIR
JACKSON, TN 38305
Madison County (731) 240-1747
GREGORY CARL BRUNO MD
Radiology (Vascular & Interventional Radiology)
31 SANDSTONE CIR
JACKSON, TN 38305
Madison County (731) 240-1747
MICHAEL G DOHERTY MD
Radiology (Diagnostic Radiology)
31 SANDSTONE CIR
JACKSON, TN 38305
Madison County (731) 240-1747

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 Jackson Radiology Associates PA's NPI number?

The NPI number for Jackson Radiology Associates PA is 1699700716. It was assigned to this organization in the NPPES registry on July 11, 2006.

Where is Jackson Radiology Associates PA located?

Jackson Radiology Associates PA is located at 31 Sandstone Cir, Jackson, TN 38305. The listed phone number is (731) 240-1747.

What is Jackson Radiology Associates PA's specialty?

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

Does Jackson Radiology Associates PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2313648) is associated with this NPI, valid through November 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jackson Radiology Associates PA accept?

Health plans from Molina Healthcare list Jackson Radiology Associates PA 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 Jackson Radiology Associates PA was last updated on May 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.