David M Shackelford (NPI# 1578541439, PAC ID# 5991783177) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1578541439 |
| PAC ID by PECOS | 5991783177 |
| Professional Enrollment ID | I20070501000638 |
| Full Name | David M Shackelford |
| Organization Legal Name | SPRING HILL IMAGING CENTER, LLC |
| Address |
5421 Main St Suite C Spring Hill TN 37174-4410 |
| Phone Number | 9314863425 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3577666536 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440073 | MAURY REGIONAL HOSPITAL |
| 440137 | TENNOVA HEALTHCARE-SHELBYVILLE |
| 440010 | WAYNE MEDICAL CENTER |
| 441309 | MARSHALL MEDICAL CENTER |
| 440039 | VANDERBILT UNIVERSITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1224 Trotwood Ave, Columbia, TN 38401-4802 | 9313811111 | SOUTHERN RADIOLOGY ASSOCIATES, PLLC |
| 617 W Main St, Hohenwald, TN 38462-1355 | 9312308070 | SOUTHERN RADIOLOGY ASSOCIATES, PLLC |
| 2835 Hwy 231 N, Shelbyville, TN 37160-7327 | 9316855433 | SOUTHERN RADIOLOGY ASSOCIATES, PLLC |
| 5421 Main St, Suite C, Spring Hill, TN 37174-4410 | 9314863425 | SPRING HILL IMAGING CENTER, LLC |
| 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 9317225411 | SOUTHERN RADIOLOGY ASSOCIATES, PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 73% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 73% | |
| MIPS_EC_405_overall | Appropriate Follow-up Imaging for Incidental Abdominal Lesions (100%: worst, 0% best) | 0% | |
| MIPS_EC_405_overall | Appropriate Follow-up Imaging for Incidental Abdominal Lesions (100%: worst, 0% best) | 0% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 37% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 37% |
| Organization Legal Name | SPRING HILL IMAGING CENTER, LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James David Grippo | Diagnostic Radiology | Spring Hill Imaging Center, LLC | 5421 Main St, Suite C, Spring Hill, TN 37174-4410 |
| Joseph E Pate | Diagnostic Radiology | Spring Hill Imaging Center, LLC | 5421 Main St, Suite C, Spring Hill, TN 37174-4410 |
| James B Butler | Diagnostic Radiology | Spring Hill Imaging Center, LLC | 5421 Main St, Suite C, Spring Hill, TN 37174-4410 |
| Daniel Aaron Grippo | Diagnostic Radiology | Spring Hill Imaging Center, LLC | 5421 Main St, Suite C, Spring Hill, TN 37174-4410 |
| Marvin Montgomery Smith | Diagnostic Radiology | Spring Hill Imaging Center, LLC | 5421 Main St, Suite C, Spring Hill, TN 37174-4410 |
| Nathan R Berkley | Diagnostic Radiology | Spring Hill Imaging Center, LLC | 5421 Main St, Suite C, Spring Hill, TN 37174-4410 |
| Michael Rissing | Diagnostic Radiology | Spring Hill Imaging Center, LLC | 5421 Main St, Suite C, Spring Hill, TN 37174-4410 |
| Gary T Podgorski | Diagnostic Radiology | Spring Hill Imaging Center, LLC | 5421 Main St, Suite C, Spring Hill, TN 37174-4410 |
| William Brewer | Diagnostic Radiology | Spring Hill Imaging Center, LLC | 5421 Main St, Suite C, Spring Hill, TN 37174-4410 |
| Brice T Boughner | Diagnostic Radiology | Spring Hill Imaging Center, LLC | 5421 Main St, Suite C, Spring Hill, TN 37174-4410 |
| Street Address |
5421 MAIN ST SUITE C |
| City | SPRING HILL |
| State | TN |
| Zip | 37174-4410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James David Grippo | Diagnostic Radiology | Spring Hill Imaging Center, LLC | 5421 Main St, Suite C, Spring Hill, TN 37174-4410 |
| Joseph E Pate | Diagnostic Radiology | Spring Hill Imaging Center, LLC | 5421 Main St, Suite C, Spring Hill, TN 37174-4410 |
| Katelin Kay Thompson | Nurse Practitioner | Maury Regional Medical Group Inc | 5421 Main St, Spring Hill, TN 37174-4410 |
| James B Butler | Diagnostic Radiology | Spring Hill Imaging Center, LLC | 5421 Main St, Suite C, Spring Hill, TN 37174-4410 |
| Daniel Aaron Grippo | Diagnostic Radiology | Spring Hill Imaging Center, LLC | 5421 Main St, Suite C, Spring Hill, TN 37174-4410 |
| Sean C Cannady | Family Medicine | Maury Regional Medical Group Inc | 5421 Main St, Spring Hill, TN 37174-4410 |
| Marvin Montgomery Smith | Diagnostic Radiology | Spring Hill Imaging Center, LLC | 5421 Main St, Suite C, Spring Hill, TN 37174-4410 |
| Nathan R Berkley | Diagnostic Radiology | Spring Hill Imaging Center, LLC | 5421 Main St, Suite C, Spring Hill, TN 37174-4410 |
| Michael Rissing | Diagnostic Radiology | Spring Hill Imaging Center, LLC | 5421 Main St, Suite C, Spring Hill, TN 37174-4410 |
| Gary T Podgorski | Diagnostic Radiology | Spring Hill Imaging Center, LLC | 5421 Main St, Suite C, Spring Hill, TN 37174-4410 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karin D Anderson | Occupational Therapy | Healthpro Heritage Rehab and Fitness LLC | 1001 Mccutcheon Creek Ln, Spring Hill, TN 37174-1050 |
| Virgilio Palma Gozum | Optometry | Spring Hill Eyecare, Pllc | 5238 Main St, Spring Hill, TN 37174-2443 |
| Mark W Hawkins | Chiropractic | 5242 Main St, Spring Hill, TN 37174-2443 | |
| Kathryn Ann Beckman | Optometry | Spring Hill Eyecare, Pllc | 5238 Main St, Spring Hill, TN 37174-2443 |
| Robert Szeliga | Optometry | Spring Hill Eyecare, Pllc | 5238 Main St, Spring Hill, TN 37174-2443 |
| Amanda Abbott | Physical Therapy | Elite Physical Therapy and Associates LLC | 5290 Main St, Spring Hill, TN 37174-2444 |
| Gilbert W Raulston | Psychiatry | Centerstone of Tennessee, Inc | 220 Town Ctr Pkwy, Spring Hill, TN 37174-2461 |
| Jerome T Viltz | Clinical Social Worker | Centerstone of Tennessee, Inc | 220 Town Ctr Pkwy, Spring Hill, TN 37174-2461 |
| Bernard O Hudson Iii | Psychiatry | Centerstone of Tennessee, Inc | 220 Town Ctr Pkwy, Spring Hill, TN 37174-2461 |
| Christopher C Mallard | Optometry | 4959 Main St, Spring Hill, TN 37174-2727 | |
| Find all physicians in zip 37174 | |||
| City | SPRING HILL |
| Zip Code | 37174 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SPRING HILL + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on David M Shackelford.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.