| Dr Richard Harris Jadick, DO | |
|
1555 Doctors Dr Ste 101, Lagrange, GA 30240-4132 | |
| (706) 803-7540 | |
| (706) 803-8816 |
| Full Name | Dr Richard Harris Jadick |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 28 Years |
| Location | 1555 Doctors Dr Ste 101, Lagrange, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083837975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 069823 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar West Georgia Medical Center | Lagrange, GA | Hospital |
| Wellstar Spalding Regional Hospital | Griffin, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Entity Name | City Of Hope Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447520333 PECOS PAC ID: 4880841212 Enrollment ID: O20120820001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Harris Jadick, DO 1555 Doctors Dr Ste 101, Lagrange, GA 30240-4132 Ph: (706) 803-7540 | Dr Richard Harris Jadick, DO 1555 Doctors Dr Ste 101, Lagrange, GA 30240-4132 Ph: (706) 803-7540 |
Justin Fincher, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1555 Doctors Dr Ste 101, Lagrange, GA 30240 Phone: 706-803-7540 Fax: 706-803-8816 | |
John Connor Smith, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 303 Smith Street, Clark-holder Clinic, P.a., Lagrange, GA 30240 Phone: 706-882-8831 Fax: 706-812-4091 |