Advancd Diagnostic Imaging, PC
NPI 1487121703ActiveOrganization· Internal Medicine· Dickson, TN
Internal Medicine in Dickson, Tennessee, registered in NPPES in October 2018, part of Advancd Diagnostic Imaging, PC. The authorized official on file is Susan Fenton, Credentialing Supervisor.
Overview
| NPI | 1487121703 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Advancd Diagnostic Imaging, PC |
| NPI issued | Oct 24, 2018 |
| Last updated in NPPES | Oct 24, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
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 |
|---|
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