Southern Radiology Associates, PLLC

NPI 1467460725ActiveOrganization· Radiology, Diagnostic Radiology· Columbia, TN

Radiology, Diagnostic Radiology in Columbia, Tennessee, registered in NPPES in August 2006. The authorized official on file is James D. Grippo, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI	1467460725
Status	Active
Entity type	Organization
NPI issued	Aug 3, 2006
Last updated in NPPES	Oct 25, 2021
Certified by provider	Oct 25, 2021

Specialties and licenses

Taxonomy	Code	License	State
Radiology, Diagnostic Radiology Primary	2085R0202X	—	TN

About license numbers in NPPES

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 (AL); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (HI); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (NE); Part B Supplier - Clinic/Group Practice (NH); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (WA)

Enrollment (PECOS)

Enrolled Part B Supplier - Clinic/Group Practice (AL); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (HI); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (NE); Part B Supplier - Clinic/Group Practice (NH); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (WA)

Medicare sources and data years

Other diagnostic radiologists in Columbia

Joseph E. Pate, MD
Columbia, TN · Individual
1144216482
James Blair Butler, MD
Columbia, TN · Individual
1316949191
Daniel Aaron Grippo, MD
Columbia, TN · Individual
1366599243
Marvin Montgomery Smith, M.D.
Columbia, TN · Individual
1508064890
Nathan R. Berkley, MD
Columbia, TN · Individual
1538216403
Scott Howard Monen, M.D.
Columbia, TN · Individual
1578679551
Gary T. Podgorski, MD
Columbia, TN · Individual
1598751810
William Wesley Brewer, M.D.
Columbia, TN · Individual
1649292160
Brice T. Boughner, MD
Columbia, TN · Individual
1669428603
James David Grippo, M.D.
Columbia, TN · Individual
1073531042
Michael Scott Rissing, M.D.
Columbia, TN · Individual
1548467319
David M. Shackelford, MD
Columbia, TN · Individual
1578541439

All 15 diagnostic radiologists in Columbia · All diagnostic radiologists in Tennessee