Individual provider Active NPI

Jeffrey S. Hoadley, M.D.

  • Surgery Physician
  • Sandy Springs, GA
National Provider Identifier
1023078755
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
037567 Issued in GA
Practice address
1100 Johnson Ferry Rd
Building II Suite 470
Sandy Springs, GA 30342-1709
Phone
(404) 255-4901
Fax
(404) 843-2447
NPI assigned
Mar 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 037567 GA Primary

Addresses

Primary practice location

1100 Johnson Ferry Rd
Building II Suite 470
Sandy Springs, GA 30342-1709

Mailing address

980 Johnson Ferry Rd Ste 880
Atlanta, GA 30342-1609
Phone (678) 336-5951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040716000605 GA Practitioner - General Surgery 7012992951 Reassigns benefits to 2 organizations
I20241111003663 KY Practitioner - General Surgery 7012992951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

Practice addresses (Care Compare)

980 Johnson Fy Rd NE
Suite 880
Atlanta, GA 30342-1609
Phone (404) 255-8304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
037567GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Kentucky Specialty Care LLC Surgery CurrentSince Oct 8, 2024 Accepting new patients
North Atlanta Surgical Associates Surgery CurrentSince Jan 1, 2006 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Oct 8, 2024 Accepting new patients
Mercy Health Physicians Kentucky LLC Surgery Past Accepting new patients

Locations

5115 New Peachtree Rd
Ste 202
Chamblee, GA 30341
Phone (678) 336-5951

980 Johnson Fy Rd NE
Ste 880
Sandy Springs, GA 30342
Phone (404) 255-8304

980 Johnson Ferry Rd
Ste 760
Sandy Springs, GA 30342
Phone (678) 336-5951

5673 Peachtree Dunwoody Rd
Ste 300
Sandy Springs, GA 30342
Phone (404) 252-6118

1100 Johnson Fy Rd NE
Ste 470
Sandy Springs, GA 30342
Phone (404) 255-4901

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

1532 Lone Oak Rd
Ste 235
Paducah, KY 42003
Phone (270) 442-9463

Interoperability endpoints

  • Direct secure messaging: jhoadley294376@direct.aspirus.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1023078755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 JOHNSON FERRY RD STE 880",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421609",
            "telephone_number": "678-336-5951",
            "fax_number": "678-336-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FERRY RD",
            "address_2": "BUILDING II SUITE 470",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303421709",
            "telephone_number": "404-255-4901",
            "fax_number": "404-843-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOADLEY",
        "first_name": "JEFFREY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "037567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.