JACKSON RADIOLOGY ASSOCIATES PA
NPI 1699700716
Radiology - Diagnostic Radiology in Jackson, TN
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
Specialties & Licenses 11
Secondary Practice Location 1
Other Identifiers 6
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)
Jackson Radiology Associates Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
44Medicare enrollment records show 44 clinicians reassign Medicare billing to Jackson Radiology Associates PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 44Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, TNFrequently 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.
Is Jackson Radiology Associates PA enrolled in Medicare?
Yes. Jackson Radiology Associates PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jackson Radiology Associates PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 44 clinicians in 3 Medicare specialties reassign their Medicare billing to Jackson Radiology Associates PA. 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 (37), Nurse Practitioner (4) and Interventional Radiology (3). Of these, 3 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 October 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 days 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.
# Jackson Radiology Associates Pa · NPI 1699700716
Diagnostic Radiology organization in Jackson, Tennessee. Organization record, active in the CMS NPPES registry since July 11, 2006.
## Identity
- **NPI:** 1699700716 (Entity type: Organization)
- **Enumerated:** July 11, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Gregory Bruno, PRESIDENT
## Practice location
- **Address:** 31 SANDSTONE CIR, Jackson, TN 38305-2073
- **Phone:** (731) 240-1747 · **Fax:** (731) 240-1755
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 44 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (37), Nurse Practitioner (4), Interventional Radiology (3); 3 practice at this address and 17 within 10 miles; [full list](https://npiprofile.com/npi/1699700716/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2026
- **Other identifiers:** Other CG753Z (CA); Other 315752 (CO); Medicaid 3729238 (TN); and 3 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1699700716) · Data from the CMS NPPES public registry.