Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Landen Marshall Tharp

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316434806

Landen Marshall Tharp is a Diagnostic Radiology in Birmingham, Alabama. Graduated from University of Mississippi School of Medicine in 2018, 8 years ago. Practices with Cooper Green Mercy Health Services Authority an Affiliate of UAB, a 96-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
8
Trained at
University of Mississippi School of Medicine
Licensed in
AL
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

619 19th St S # JNT230
Birmingham, AL 35249-6741
Phone: (205) 934-4011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2204 Lakeshore Dr Ste 140, Birmingham, AL 35209-6741 — (205) 824-8000
  • 2500 N State St, Jackson, MS 39216-4500 — (601) 815-1779

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD.46143 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1316434806
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2018
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing addressPo Box 55310, Birmingham, AL 35255-5310

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Cooper Green Mercy Health Services Authority An Affiliate Of Uab — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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