Jackson Radiology Associates PA
NPI 1699700716 · Diagnostic Radiology Physician · Jackson, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Radiology Associates PA is a Diagnostic Radiology Physician organization in Jackson, TN (NPI 1699700716).
Provider details
- NPI number
- 1699700716
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gregory Bruno, President(731) 240-1747
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Radiological Physics Physician2085R0205X
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Diagnostic Ultrasound Physician2085U0001X
Allopathic & Osteopathic Physicians
- Pediatric Radiology Physician2085P0229X
Allopathic & Osteopathic Physicians
- Nuclear Radiology Physician2085N0904X
Allopathic & Osteopathic Physicians
- Body Imaging Physician2085B0100X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 620 Skyline DrJackson, TN 38301-3923Phone: (731) 240-1747
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2026-05-28
- Certified
- 2026-05-28
Frequently asked questions
- What is Jackson Radiology Associates PA's NPI number?
- Jackson Radiology Associates PA's National Provider Identifier (NPI) is 1699700716, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Radiology Associates PA?
- Jackson Radiology Associates PA is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Jackson Radiology Associates PA located?
- Jackson Radiology Associates PA's practice location on file with NPPES is 31 Sandstone Cir, Jackson, TN 38305-2073.
- What is Jackson Radiology Associates PA's phone number?
- The practice phone number listed in the NPPES registry for Jackson Radiology Associates PA is (731) 240-1747.
- Does Jackson Radiology Associates PA accept Medicare?
- Jackson Radiology Associates PA 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 Jackson Radiology Associates PA?
- The authorized official listed on Jackson Radiology Associates PA's NPPES record is Gregory Bruno, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Radiology Associates PA's NPI active?
- Yes — Jackson Radiology Associates PA's NPI (1699700716) is active in the NPPES registry as of the last update on 2026-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.