Heritage Radiology, PC
Heritage Radiology, PC is a healthcare organization registered as Diagnostic Radiology Physician in Jasper, TN, holding Type 2 (organization) NPI 1730230210 since 2007. The authorized official on file is Miriam Willis, Secretary.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1730230210 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Heritage Radiology, PC |
| Practice address | 1000 HIGHWAY 28, GRANDVIEW MEDICAL CENTER, Jasper, TN, 37347 |
| Phone | 4238373423 |
| Enumeration date | 2007-01-13 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Miriam Willis |
|---|---|
| Title | Secretary |
| Phone | 4239421674 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2085R0202X | Diagnostic Radiology Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3729274 | Medicaid | TN | — |
Copy-ready billing details
Provider: Heritage Radiology, PC NPI: 1730230210 Taxonomy: 2085R0202X (Diagnostic Radiology Physician) Address: 1000 HIGHWAY 28, GRANDVIEW MEDICAL CENTER, Jasper, TN, 37347
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1528054293 | Marshall Willis | Individual | Diagnostic Radiology Physician | Jasper, TN |
| 1831175801 | Robert Phlegar | Individual | Diagnostic Radiology Physician | Jasper, TN |
| 1073599049 | John Galbraith | Individual | Diagnostic Radiology Physician | Jasper, TN |
| 1184682874 | S P Acquisition Corp. | Organization | General Acute Care Hospital | Jasper, TN |
| 1881642841 | Sp Acquisition Corp. | Organization | Psychiatric Hospital Unit | Jasper, TN |
| 1295771053 | Marvin Eason | Individual | Emergency Medicine Physician | Jasper, TN |
| 1558307314 | Joy Sanford | Individual | Emergency Medicine Physician | Jasper, TN |
| 1124055801 | Brenda Ross | Individual | Emergency Medicine Physician | Jasper, TN |
Verify this record
Cross-check NPI 1730230210 against the authoritative CMS record: view Heritage Radiology, PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Heritage Radiology, PC?
Who is the authorized official for Heritage Radiology, PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.