Jacksonville Diagnostic Imaging LLC
NPI 1104874387 · Diagnostic Radiology Physician · Jacksonville, NC
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacksonville Diagnostic Imaging LLC is a Diagnostic Radiology Physician organization in Jacksonville, NC (NPI 1104874387).
Provider details
- NPI number
- 1104874387
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Geoffrey Gardner, Svp Finance and Revenue Cycle(336) 718-2078
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
3,660 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Mri Scan of Lower Spinal Canal Without Contrast72148 | 469 | $179 |
| Mri Scan of Upper Spinal Canal Without Contrast72141 | 204 | $167 |
| Mri Scan of Brain Before and After Contrast70553 | 171 | $291 |
| Low Dose Ct Scan of Chest for Lung Cancer Screening71271 | 162 | $127 |
| Ct Scan of Chest Without Contrast71250 | 161 | $123 |
| Mri Scan of Arm Joint Without Contrast73221 | 154 | $189 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Coastal Diagnostic Imaging
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2024-03-19
- Certified
- 2024-03-19
Frequently asked questions
- What is Jacksonville Diagnostic Imaging LLC's NPI number?
- Jacksonville Diagnostic Imaging LLC's National Provider Identifier (NPI) is 1104874387, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacksonville Diagnostic Imaging LLC?
- Jacksonville Diagnostic Imaging LLC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Jacksonville Diagnostic Imaging LLC located?
- Jacksonville Diagnostic Imaging LLC's practice location on file with NPPES is 3606 Henderson Dr, Jacksonville, NC 28546-5217.
- What is Jacksonville Diagnostic Imaging LLC's phone number?
- The practice phone number listed in the NPPES registry for Jacksonville Diagnostic Imaging LLC is (910) 937-7226.
- Does Jacksonville Diagnostic Imaging LLC accept Medicare?
- Jacksonville Diagnostic Imaging LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jacksonville Diagnostic Imaging LLC?
- The authorized official listed on Jacksonville Diagnostic Imaging LLC's NPPES record is Geoffrey Gardner, Svp Finance and Revenue Cycle. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacksonville Diagnostic Imaging LLC's NPI active?
- Yes — Jacksonville Diagnostic Imaging LLC's NPI (1104874387) is active in the NPPES registry as of the last update on 2024-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.