THE IMAGING CENTER AT WOLF RIVER
NPI 1912395708
Radiology - Diagnostic Radiology in Germantown, TN

Active since December 31, 2014CLIA 44D2097035 · Waiver
7600 WOLF RIVER BLVD, SUITE 100, GERMANTOWN, TN 38138(901) 312-4033(844) 622-3087 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 22, 2021, Mar 16, 2021 (2 updates tracked since 2021).

About The Imaging Center At Wolf River NPPES

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

THE IMAGING CENTER AT WOLF RIVER (NPI 1912395708) is a healthcare organization registered as a diagnostic radiology in Germantown, Tennessee and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Amy Stout, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1912395708
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameWEST TENNESSEE IMAGING, LLC
Location Address7600 WOLF RIVER BLVD, SUITE 100Germantown, TN 38138-1744
Mailing Address800 Crescent Centre Dr Ste 400Franklin, TN 37067-7270 · (615) 261-2306 · Fax (855) 588-3545
Fax(844) 622-3087
Organization SubpartNo
Authorized OfficialAmy StoutPresident/ceo · (615) 261-2306
Enumeration DateDecember 31, 2014
Last NPPES UpdateOctober 21, 20242 updates tracked since enumeration
NPPES CertifiedOctober 21, 2024
✔ NPI 1912395708 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.
7600 WOLF RIVER BLVD, Germantown, TN 38138

Other Names 1

Doing Business AsThe Imaging Center At Wolf River

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Imaging Center At Wolf River is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTennesseeEnrollment IDO20150616002796Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

57

Medicare enrollment records show 57 clinicians reassign Medicare billing to The Imaging Center At Wolf River, which bills Medicare for the services they deliver. Of these, 23 practice at this address and 41 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Diagnostic Radiology54
Interventional Radiology3

Nearest to this location (20)

See all 57
Diagnostic Radiology
NPI 1568697522
7600 WOLF RIVER BLVD STE 200
Germantown, TN 38138
(901) 747-1000
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1760820625
7600 WOLF RIVER BLVD STE 200
Germantown, TN 38138
(901) 747-1000
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1104111442
7600 WOLF RIVER BLVD STE 200
Germantown, TN 38138
(901) 747-1000
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1477796241
7600 WOLF RIVER BLVD STE 200
Germantown, TN 38138
(901) 747-1000
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1083619456
7600 WOLF RIVER BLVD STE 200
Germantown, TN 38138
(870) 215-1277
✔ PECOS✔ Accepts MedicareSame address
Interventional Radiology
NPI 1780037382
7600 WOLF RIVER BLVD STE 200
Germantown, TN 38138
(014) 736-4229
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1316181662
7600 WOLF RIVER BLVD STE 200
Germantown, TN 38138
(901) 747-1007
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1891912556
7600 WOLF RIVER BLVD STE 200
Germantown, TN 38138
(901) 747-1007
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1144462300
7600 WOLF RIVER BLVD STE 200
Germantown, TN 38138
(901) 747-1000
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1538514971
7600 WOLF RIVER BLVD STE 200
Germantown, TN 38138
(901) 747-1000
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1225182637
7600 WOLF RIVER BLVD STE 200
Germantown, TN 38138
(901) 747-1000
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1154509206
7600 WOLF RIVER BLVD STE 200
Germantown, TN 38138
(901) 747-1000
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1184935447
7600 WOLF RIVER BLVD STE 200
Germantown, TN 38138
(901) 747-1000
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1538657457
7600 WOLF RIVER BLVD
Germantown, TN 38138
(901) 226-3001
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1073674875
7600 WOLF RIVER BLVD STE 200
Germantown, TN 38138
(901) 747-1007
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1548467376
7600 WOLF RIVER BLVD STE 200
Germantown, TN 38138
(901) 747-1000
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1326306879
7600 WOLF RIVER BLVD STE 200
Germantown, TN 38138
(901) 747-1000
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1801001680
7600 WOLF RIVER BLVD STE 200
Germantown, TN 38138
(901) 747-1000
✔ PECOS✔ Accepts MedicareSame address
Interventional Radiology
NPI 1487018768
7600 WOLF RIVER BLVD STE 200
Germantown, TN 38138
(901) 747-1000
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1356508600
7600 WOLF RIVER BLVD STE 200
Germantown, TN 38138
(901) 747-1000
✔ PECOS✔ Accepts MedicareSame address
See all 57 clinicians

Source: 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 44D2097035

West Tennessee Imaging LLC Dba The Imaging Center At Wolf River · Germantown, TN
Active · expires Jun 7, 2027
CLIA Number44D2097035
Laboratory TypeOutpatient Imaging Facili
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorDexter H. Witte III
Laboratory Phone(901) 312-4033
Laboratory LocationWest Tennessee Imaging LLC Dba The Imaging Center At Wolf River7600 Wolf River Blvd, Suite 100, Germantown, TN 38138
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 West Tennessee Imaging, LLC's NPI number?

The NPI number for West Tennessee Imaging, LLC is 1912395708. It was assigned to this organization in the NPPES registry on December 31, 2014. The provider is doing business as The Imaging Center At Wolf River.

Where is West Tennessee Imaging, LLC located?

West Tennessee Imaging, LLC is located at 7600 Wolf River Blvd Suite 100, Germantown, TN 38138. The listed phone number is (901) 312-4033.

What is West Tennessee Imaging, LLC's specialty?

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

Is West Tennessee Imaging, LLC enrolled in Medicare?

Yes. West Tennessee Imaging, LLC is registered in the Medicare PECOS enrollment system.

When is West Tennessee Imaging, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Tennessee, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through West Tennessee Imaging, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 57 clinicians in 2 Medicare specialties reassign their Medicare billing to West Tennessee Imaging, LLC. 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 (54) and Interventional Radiology (3). Of these, 23 practice at this address and 41 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does West Tennessee Imaging, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2097035) is associated with this NPI, valid through June 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does West Tennessee Imaging, LLC accept?

Health plans from Cigna Healthcare, Health Advantage, Octave and UnitedHealthcare list West Tennessee Imaging, LLC 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 West Tennessee Imaging, LLC was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.