Jonathan David Wade, DO | |
110 S Jefferson St, Nashville, GA 31639 | |
(229) 638-6726 | |
(229) 518-4425 |
Full Name | Jonathan David Wade |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 15 Years |
Location | 110 S Jefferson St, Nashville, 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 |
---|---|---|---|
1528297538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1263 (South Carolina) | Secondary |
207Q00000X | Family Medicine | 66666 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Pruitthealth Hospice-valdosta | Valdosta, GA | Hospice |
Sgmc Berrien Campus | Nashville, GA | Hospital |
South Georgia Medical Center | Valdosta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southland Bainbridge Hospitalist Group, Llc | 7214248335 | 41 |
Southland-nashville Emergency Services, Llc. | 9133390214 | 6 |
Entity Name | Southland-nashville Emergency Services, Llc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639467038 PECOS PAC ID: 9133390214 Enrollment ID: O20110921000500 |
Entity Name | Southland - Lakeland Medical Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821341397 PECOS PAC ID: 5890947980 Enrollment ID: O20121219000267 |
Entity Name | Southland Bainbridge Hospitalist Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356735336 PECOS PAC ID: 7214248335 Enrollment ID: O20150616002069 |
Mailing Address | Practice Location Address |
---|---|
Jonathan David Wade, DO 110 S Jefferson St, Nashville, GA 31639-2268 Ph: (229) 638-6726 | Jonathan David Wade, DO 110 S Jefferson St, Nashville, GA 31639 Ph: (229) 638-6726 |
Sarah Harrell Kester, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 201 W Mcpherson Ave, Nashville, GA 31639 Phone: 229-638-6726 Fax: 229-518-4425 | |
Mandy Katrice Lucas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1221 E. Mcpherson Avenue, Suite A, Nashville, GA 31939 Phone: 229-433-8741 Fax: 229-433-8742 | |
Dr. Henry R Richbourg, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 416a E Mcpherson Ave, Nashville, GA 31639 Phone: 229-686-2093 Fax: 229-686-7150 | |
Dr. Celestine Stiles, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 418 E. Mcpherson Ave, Nashville, GA 31639 Phone: 229-686-9715 Fax: 229-543-1282 | |
Richard E Wheeler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 416 E Mcpherson Ave Ste A, Nashville, GA 31639 Phone: 229-686-2093 | |
Dr. Clifton Blayne Thomas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 W Mcpherson Ave, Nashville, GA 31639 Phone: 229-638-6726 |