Advanced Diagnostic Imaging, PC
NPI 1205393444ActiveOrganization· Orthopaedic Surgery· Sparta, TN
Orthopaedic Surgery in Sparta, Tennessee, registered in NPPES in February 2019. The authorized official on file is Susan Fenton, Credentialing Supervisor.
Overview
| NPI | 1205393444 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 25, 2019 |
| Last updated in NPPES | Feb 14, 2020 |
| Certified by provider | Feb 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Orthopaedic Surgery providers in Sparta
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