| Dr James David Grippo, MD | |
|
1224 Trotwood Ave, Columbia, TN 38401-4802 | |
| (931) 381-1111 | |
| Not Available |
| Full Name | Dr James David Grippo |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 18 Years |
| Location | 1224 Trotwood Ave, Columbia, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073531042 | NPI | - | NPPES |
| 4154374 | Other | TN | BCBS |
| P00414686 | Other | TN | RR MEDICARE |
| 3000098 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0101239776 (Virginia) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 41992 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Maury Regional Hospital | Columbia, TN | Hospital |
| Marshall Medical Center | Lewisburg, TN | Hospital |
| Southern Tennessee Regional Health System Pulaski | Pulaski, TN | Hospital |
| Southern Tennessee Regional Health System Lawrence | Lawrenceburg, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spring Hill Imaging Center, Llc | 3577666536 | 14 |
| Southern Radiology Associates Pllc | 7214913649 | 35 |
| Entity Name | Southern Radiology Associates, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467460725 PECOS PAC ID: 7214913649 Enrollment ID: O20040626000358 |
| Entity Name | Spring Hill Imaging Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073692158 PECOS PAC ID: 3577666536 Enrollment ID: O20070312000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James David Grippo, MD Po Box 3239, Indianapolis, IN 46206-3239 Ph: (844) 295-4871 | Dr James David Grippo, MD 1224 Trotwood Ave, Columbia, TN 38401-4802 Ph: (931) 381-1111 |
Dr. Joseph E. Pate, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-388-1286 Fax: 931-388-7119 | |
Dr. James Blair Butler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1224 Trotwood Ave, Southern Radiology Associates, Pllc, Columbia, TN 38401 Phone: 931-647-5034 Fax: 931-552-6663 | |
Nathan R Berkley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-388-1286 Fax: 931-388-7119 | |
Dr. Michael Scott Rissing, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-381-1111 | |
David M Shackelford, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 844-295-4871 | |
Dr. Scott Howard Monen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-381-1111 Fax: 931-380-4104 |