OrganizationActive
Advanced Diagnostic Imaging, PC
NPI 1043988983 · Durable Medical Equipment & Medical Supplies · Mcminnville, TN
Provider details
- NPI number
- 1043988983
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Susan Fenton, Credentialing Manager(615) 854-3409
Specialties & taxonomies
Suppliers
- Customized Equipment (DME)332BC3200X
Suppliers
- Podiatrist213E00000X
Podiatric Medicine & Surgery Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1428 Sparta St Ste 4
Mcminnville, TN 37110-1365
Phone: (931) 507-3668
Street-level locationGet directions
Mailing address
3024 Business Park Cir
Goodlettsville, TN 37072-3132
Other names (DBA / former)
- Doing business as
- Premier Foot & Ankle Centers of Tennessee
Registry dates
- Enumerated
- 2021-09-04
- Last updated
- 2021-09-04
- Certified
- 2021-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.