NPIMap

Organization Active NPI

Melissa Jadick

  • Pediatrics Physician
  • Augusta, GA
National Provider Identifier
1013927946
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
056877 Issued in GA
Legal business name
MELISSA JADICK
Practice address
1303 Dantignac St
Suite 2600
Augusta, GA 30901-2775
Phone
(706) 854-2500
Fax
(706) 774-7209
NPI assigned
Aug 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christina Rios
Title
Credentialing Specialist
Phone
(706) 854-2558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 056877 GA Primary

Addresses

Primary practice location

1303 Dantignac St
Suite 2600
Augusta, GA 30901-2775

Mailing address

1303 Dantignac St
Suite 2600
Augusta, GA 30901-2775
Phone (706) 854-2500

National Provider Directory

National Provider Directory
Tax ID family
Melissa Jadick2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1303 Dantignac St
Ste 2600
Augusta, GA 30901
Phone 7068542500 ext. 232

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013927946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 DANTIGNAC ST",
            "address_2": "SUITE 2600",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012775",
            "telephone_number": "706-854-2500",
            "fax_number": "706-774-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 DANTIGNAC ST",
            "address_2": "SUITE 2600",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012775",
            "telephone_number": "706-854-2500",
            "fax_number": "706-774-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA JADICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "706-854-2558"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "056877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.