Active NPI 1356721245 Individual Practitioner Male Practitioner

Davin Ray Modisette

Radiologic Technologist • Jackson, TN

Professional Overview & Biography Verified Profile Summary

Davin Modisette is a registered healthcare professional specializing in Radiologic Technologist in Jackson, TN. Practice services are available at 23 WESTHAVEN PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

23 Westhaven Pl

Jackson, TN 383051758

Telephone 3184750690

Fax 7314353385

Associated Practice Facility / Clinic

🏢 Dr Mobile Imaging, Llc Facility NPI 1851949291

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiologic Technologist in Jackson, TN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Jackson, TN (17 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-12-28

Radiologic Technologist Primary Specialty

NUCC Taxonomy Code: 247100000X

State License TN 487010

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Practice Location December 28, 2022

Registered at 23 WESTHAVEN PL, JACKSON, TN 383051758 (Tel: 3184750690)

📍

Updated Business Mailing Address December 28, 2022

Registered at 23 WESTHAVEN PL, JACKSON, TN 383051758 (Tel: 3184750690)

📍

Updated Practice Location August 19, 2019

Registered at 18 NORTHLAND DR, JACKSON, TN 383013308 (Tel: 3184750690)

📍

Updated Business Mailing Address August 19, 2019

Registered at 18 NORTHLAND DR, JACKSON, TN 383013308 (Tel: 3184750690)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2019

Radiologic Technologist (License #487010 in TN)

✅

NPI Profile Active June 05, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 05, 2015

Registered at 319 HEDGE HILL CV, CALHOUN, LA 712258710 (Tel: 3184750690)

📍

Updated Business Mailing Address June 05, 2015

Registered at 319 HEDGE HILL CV, CALHOUN, LA 712258710 (Tel: 3184750690)

👤

Provider Name / Credentials Updated June 05, 2015

Recorded as DAVIN MODISETTE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2015

Radiologic Technologist (License #247100000X in LA)

🟢

Initial NPI Registration & Enumeration June 04, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356721245

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 04, 2015

Last Update: December 28, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

23 Westhaven Pl

Jackson, TN 383051758

Phone: 3184750690

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.