ASSOCIATED RADIOLOGISTS PA
NPI 1790774263
Radiology - Diagnostic Radiology in Brookhaven, MS

Q: What is Associated Radiologists PA's NPI number?

The NPI number for Associated Radiologists PA is 1790774263. It was assigned to this organization in the NPPES registry on October 18, 2005.

Q: What is Associated Radiologists PA's specialty?

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

Active since October 18, 2005

108 LANCE ALWORTH DR, BROOKHAVEN, MS 39601(601) 833-6011(601) 835-5413 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Associated Radiologists Pa NPPES

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

ASSOCIATED RADIOLOGISTS PA (NPI 1790774263) is a healthcare organization registered as a diagnostic radiology in Brookhaven, Mississippi and active in the NPI registry since October 2005. The organization lists Saundra Rena Shannon, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1790774263

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameASSOCIATED RADIOLOGISTS PA

Location Address108 LANCE ALWORTH DRBrookhaven, MS 39601-2300

Mailing AddressPo Box 764Brookhaven, MS 39602-0764 · (601) 833-6011 · Fax (601) 835-5413

Phone(601) 833-6011

Fax(601) 835-5413

Organization SubpartNo

Authorized OfficialSaundra Rena ShannonOffice Manager · (601) 835-5411

Enumeration DateOctober 18, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1790774263 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.

108 LANCE ALWORTH DR, Brookhaven, MS 39601

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Other Identifiers 1

Medicaid09011113MS

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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)

Associated Radiologists Pa 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 Associated Radiologists PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jani Purvis, MD

Diagnostic Radiology

NPI 1063402782

108 LANCE ALWORTH DR
Brookhaven, MS 39601

(601) 833-8511

✔ PECOS✔ Accepts Medicare0.1 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 Associated Radiologists PA's NPI number?

The NPI number for Associated Radiologists PA is 1790774263. It was assigned to this organization in the NPPES registry on October 18, 2005.

Where is Associated Radiologists PA located?

Associated Radiologists PA is located at 108 Lance Alworth Dr, Brookhaven, MS 39601. The listed phone number is (601) 833-6011.

What is Associated Radiologists PA's specialty?

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

Is Associated Radiologists PA enrolled in Medicare?

Yes. Associated Radiologists PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Associated Radiologists PA?

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

What insurance does Associated Radiologists PA accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Associated Radiologists 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 Associated Radiologists PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.