DR. MARSHALL GRAY EDMONDSON M.D. NPI 1720026255

NPI Information

  • NPI: 1720026255
  • Provider Name: DR. MARSHALL GRAY EDMONDSON, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 620 CROSSOVER ROAD
    TUPELO, MS
    ZIP 38801
  • Phone: (662) 620-7102

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NPI Details

DR. Marshall Gray Edmondson, M.D. is a diagnostic radiology radiology in Tupelo, MS with 55 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Marshall Gray Edmondson, M.D. NPI is 1720026255. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:1971

The provider's business location address is:

620 CROSSOVER ROAD
TUPELO, MS
ZIP 38801-944
Phone: (662) 620-7102
Fax: (662) 620-7106

The NPI 1720026255 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray series of abdomen with single x-ray of chest (HCPCS:74022)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • X-ray of abdomen, minimum of 3 views (HCPCS:74021)
  • X-ray of toe, minimum of 2 views (HCPCS:73660)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of chest, 3 views (HCPCS:71047)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)

The enumeration date for this NPI number is 6/4/2006 and was last updated on 9/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology06183MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100014322MEDICAIDMISSISSIPPI
2009700310MEDICAIDALABAMA
3300020470OTHERMISSISSIPPIRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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