Imaging Center at Gloster Creek Village PLLC
NPI 1417907536 · Diagnostic Radiology Physician · Tupelo, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Imaging Center at Gloster Creek Village PLLC is a Diagnostic Radiology Physician organization in Tupelo, MS (NPI 1417907536).
Provider details
- NPI number
- 1417907536
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Schaefer, Coo(770) 300-0101
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-05-11
- Last updated
- 2022-07-21
Frequently asked questions
- What is Imaging Center at Gloster Creek Village PLLC's NPI number?
- Imaging Center at Gloster Creek Village PLLC's National Provider Identifier (NPI) is 1417907536, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Imaging Center at Gloster Creek Village PLLC?
- Imaging Center at Gloster Creek Village PLLC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Imaging Center at Gloster Creek Village PLLC located?
- Imaging Center at Gloster Creek Village PLLC's practice location on file with NPPES is 320 S Gloster St, Tupelo, MS 38801-4748.
- What is Imaging Center at Gloster Creek Village PLLC's phone number?
- The practice phone number listed in the NPPES registry for Imaging Center at Gloster Creek Village PLLC is (662) 841-7880.
- Does Imaging Center at Gloster Creek Village PLLC accept Medicare?
- Imaging Center at Gloster Creek Village PLLC 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 Imaging Center at Gloster Creek Village PLLC?
- The authorized official listed on Imaging Center at Gloster Creek Village PLLC's NPPES record is Daniel Schaefer, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Imaging Center at Gloster Creek Village PLLC's NPI active?
- Yes — Imaging Center at Gloster Creek Village PLLC's NPI (1417907536) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.