| James David Muccio, MD | |
|
620 J L White Dr Ste 100, Jasper, GA 30143-4897 | |
| (706) 253-1305 | |
| Not Available |
| Full Name | James David Muccio |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 30 Years |
| Location | 620 J L White Dr Ste 100, Jasper, 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 |
|---|---|---|---|
| 1215936844 | NPI | - | NPPES |
| 200325580A | Medicaid | IN | |
| 2189886 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 35-07-8499 (Ohio) | Secondary |
| 207X00000X | Orthopaedic Surgery | 92222 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Mountainside Hospital Inc | Jasper, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Providers Llc | 9830082825 | 425 |
| Entity Name | Piedmont Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
| Mailing Address | Practice Location Address |
|---|---|
| James David Muccio, MD 620 J L White Dr Ste 100, Jasper, GA 30143-4897 Ph: () - | James David Muccio, MD 620 J L White Dr Ste 100, Jasper, GA 30143-4897 Ph: (706) 253-1305 |
Dr. Folsom Proctor, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 620 J L White Dr, Suite 100, Jasper, GA 30143 Phone: 706-692-6980 | |
John C.l. Schnars, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 620 J L White Dr, Ste 100, Jasper, GA 30143 Phone: 706-692-6980 Fax: 706-692-6982 | |
Dr. Russell Austin Flint, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 620 J L White Dr, Suite 100, Jasper, GA 30143 Phone: 706-692-6980 Fax: 706-692-6982 |