Jackson Madison County General Hospital
NPI 1891687208ActiveOrganization· Radiology, Diagnostic Radiology· Jackson, TN
Radiology, Diagnostic Radiology in Jackson, Tennessee, registered in NPPES in July 2025. The authorized official on file is Bartley Teague, Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1891687208 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 18, 2025 |
| 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 | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 (CO); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (KY); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (UT) |
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