Mid-South Imaging & Therapeutics, P.A.
NPI 1043260763ActiveOrganization· Radiology, Diagnostic Radiology· Germantown, TN
Radiology, Diagnostic Radiology in Germantown, Tennessee, registered in NPPES in May 2006. The authorized official on file is John A. Ellzey, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1043260763 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 11, 2006 |
| Last updated in NPPES | Oct 17, 2026 |
| Certified by provider | Oct 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
| Specialist | 174400000X | — | — |
| Nurse Anesthetist, Certified Registered | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (MS); Part B Supplier - Clinic/Group Practice (TN) |
|---|
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