OrganizationActive
Advancd Diagnostic Imaging, PC
NPI 1487121703 · Internal Medicine Physician · Dickson, TN
Provider details
- NPI number
- 1487121703
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Advancd Diagnostic Imaging, PC
- Organization subpart
- Yes
- Authorized official
- Susan Fenton, Credentialing Supervisor(615) 851-6033
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
200 Creekside Dr
Dickson, TN 37055-2176
Phone: (615) 851-6033
Street-level locationGet directions
Mailing address
3024 Business Park Cir
Goodlettsville, TN 37072-3132
Other names (DBA / former)
- Doing business as
- Covenant Medical Group
Registry dates
- Enumerated
- 2018-10-24
- Last updated
- 2018-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.