Dr Jonathan W Hathaway, MD in Peachtree City, GA

Dr Jonathan W Hathaway, MD is a medicare enrolled "Pediatrics" physician in Peachtree City, Georgia. His current practice location is 4000 Shakerag Hl Ste 201, Peachtree City, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 486-7111.

Dr Jonathan W Hathaway is licensed to practice in Georgia (license number 87985) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023336906.

Contact Information

	Dr Jonathan W Hathaway, MD
	4000 Shakerag Hl Ste 201, Peachtree City, GA 30269-4047
	(770) 486-7111
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jonathan W Hathaway
Gender	Male
Speciality	Pediatrics
Location	4000 Shakerag Hl Ste 201, Peachtree City, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023336906
Provider Enumeration Date: 05/17/2010
Last Update Date: 04/01/2025

Medicare PECOS Information:

PECOS PAC ID: 0042611386
Enrollment ID: I20210624001568

Medical Identifiers

Medical identifiers for Dr Jonathan W Hathaway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023336906	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	87985 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jonathan W Hathaway allows following entities to bill medicare on his behalf.

Entity Name	Privia Pediatric Medical Group Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710385513 PECOS PAC ID: 3375861032 Enrollment ID: O20150409002405

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jonathan W Hathaway is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jonathan W Hathaway, MD 4000 Shakerag Hl Ste 201, Peachtree City, GA 30269-4047 Ph: (770) 486-7111	Dr Jonathan W Hathaway, MD 4000 Shakerag Hl Ste 201, Peachtree City, GA 30269-4047 Ph: (770) 486-7111

Reviews and Comments

Pediatrics Doctors in Peachtree City, GA

Ann E Eggert, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12 Eastbrook Bnd, Peachtree City, GA 30269 Phone: 770-487-3330 Fax: 770-487-7736
Jerry M. Roberts, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4000 Shakerag Hl, Suite 201, Peachtree City, GA 30269 Phone: 770-486-7111 Fax: 770-486-7131
Dr. Kenneth V. Akey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3025 State St, Peachtree City, GA 30269 Phone: 770-683-3020 Fax: 833-341-1131
Dr. Annamma Daniel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 19 East Brook Bend, Suite 200, Peachtree City, GA 30269 Phone: 770-487-3330 Fax: 770-487-7736
Dr. Jack Gibson Gray, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 135 Tamerlane, Peachtree City, GA 30269 Phone: 404-771-4665
W Steen James, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 375 Highway 74 N, Peachtree City, GA 30269 Phone: 770-487-1519 Fax: 770-487-1574

Dr Jonathan W Hathaway, MD - Medicare Pediatrics in Peachtree City, GA