| Johnathan L Hadley, MD | |
|
Martin Army Community Hospital, Department Of Radiology, Ft. Benning, GA 31905 | |
| (706) 544-3429 | |
| Not Available |
| Full Name | Johnathan L Hadley |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | Martin Army Community Hospital, Ft. Benning, 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 |
|---|---|---|---|
| 1255420592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 057813 (Georgia) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | MD28654 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St. Mary's Good Samaritan Hospital | Greensboro, GA | Hospital |
| Ty Cobb Regional Medical Center, Llc | Lavonia, GA | Hospital |
| Baptist Medical Center South | Montgomery, AL | Hospital |
| Baptist Medical Center East | Montgomery, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elite Imaging Llc | 2466496880 | 121 |
| Diagnostic Centers Of America, Llp | 0547174120 | 103 |
| Athens Radiology Associates Pc | 2860486107 | 34 |
| Alabama Imaging Pc | 2365341328 | 31 |
| Montgomery Radiology Associates Pa | 2961301999 | 39 |
| Entity Name | Elite Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376819888 PECOS PAC ID: 2466496880 Enrollment ID: O20050616000704 |
| Entity Name | Diagnostic Centers Of America, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730125261 PECOS PAC ID: 0547174120 Enrollment ID: O20080223000067 |
| Entity Name | Rose Radiology Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629162904 PECOS PAC ID: 2961451315 Enrollment ID: O20141022002331 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnathan L Hadley, MD 2055 Normandie Dr, Suite 108, Montgomery, AL 36111-2732 Ph: (334) 269-6337 | Johnathan L Hadley, MD Martin Army Community Hospital, Department Of Radiology, Ft. Benning, GA 31905 Ph: (706) 544-3429 |