Active NPI
Johnathan L Hadley, MD
- Vascular & Interventional Radiology Physician
- Fort Benning, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- MD28654
- Practice address
- Martin Army Community Hospital
Department of Radiology
Ft. Benning, GA 31905 - Phone
- (706) 544-3429
- NPI assigned
- Oct 12, 2006
- Last updated
- Oct 19, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 057813 | GA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | MD28654 | AL | Primary |
Addresses
Primary practice location
Martin Army Community Hospital
Department of Radiology
Ft. Benning, GA 31905
Mailing address
2055 Normandie Dr
Suite 108
Montgomery, AL 36111-2732
Phone (334) 269-6337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Tennessee, HSC, College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 S Spooky LN
Unit 7D
Santa Rosa Beach, FL 32459-4303
Phone (754) 206-6226
1425 Gateway Blvd
Suite 100
Boynton Beach, FL 33426-8313
Phone (561) 496-6935
1616 Alex Ave
Auburn, AL 36830-6673
Phone (866) 264-3435
2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 269-6337
2055 Normandie Dr
Montgomery, AL 36111-2732
Phone (334) 288-2100
2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 288-2100
400 Taylor Rd
Montgomery, AL 36117-3512
Phone (334) 277-8330
6080 Boynton Beach Blvd
Suite 140
Boynton Beach, FL 33437-3586
Phone (561) 496-6935
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057813 | GA | MD | Diagnostic Radiology Physician |
| MD28654 | AL | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clermont Radiology LLC | Current | Accepting new patients | |
| Clermont Radiology LLC | Current | Accepting new patients | |
| Clermont Radiology LLC | Current | Accepting new patients | |
| Lebanon Diagnostic Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Elite Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Elite Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Diagnostic Centers of America LLP | Diagnostic Radiology | Current | Accepting new patients |
| Envision Imaging of Acadiana LLC | Diagnostic Radiology | Current | Accepting new patients |
| Rose Radiology Centers, LLC | Current | Accepting new patients | |
| Jeanes Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Selma Radiology Associates P C | Current | Accepting new patients | |
| Alabama Imaging PC | Current | Accepting new patients | |
| Diagnostic Centers of America LLP | Diagnostic Radiology | Current | Accepting new patients |
| Athens Radiology Associates PC | Diagnostic Radiology | Current | Accepting new patients |
| Elite Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Orlando Diagnostic Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Boca Radiology Group PA | Diagnostic Radiology | Past | Accepting new patients |
| Diagnostic Centers of America LLP | Diagnostic Radiology | Past | Accepting new patients |
| Radiology & Imaging Specialists, P.C. | Past | Accepting new patients |
Locations
105 US Highway 80 E
Demopolis, AL 36732
Phone (334) 287-2669
2055 Normandie Dr
Ste 108
Montgomery, AL 36111
Phone (334) 288-4624
2055 Normandie Dr
Ste 200
Montgomery, AL 36111
Phone (205) 262-0655
2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842
2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300
1015 Medical Center Pkwy
Selma, AL 36701
Phone (334) 418-4100
2999 NE 191st St
Ste 103
Aventura, FL 33180
Phone (305) 692-2222
6080 Boynton Beach Blvd
Ste 140
Boynton Beach, FL 33437
Phone (561) 736-3227
1220 Oakfield Dr
Brandon, FL 33511
Phone (813) 655-1144
1215 Dunn Ave
Ste A
Jacksonville, FL 32218
Phone (904) 696-8400
2820 NE 214th St
Miami, FL 33180
Phone (786) 691-4151
8300 W Sunrise Blvd
Plantation, FL 33322
Phone (954) 577-6000
2229 N Commerce Pkwy
Ste 150
Weston, FL 33326
Phone (954) 349-0054
6900 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-6736
1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- johnathan.hadley@direct.baptistfirst.org
Organizations & group practices 20
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Montgomery, AL
- NPI 1689621211
-
dba RAYUS Radiology
- Diagnostic Radiology Physician
- Delray Beach, FL
- NPI 1730125261
-
- Specialist
- Montgomery, AL
- NPI 1023046604
-
dba Akumin
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1639110240
FL
-
dba Lebanon Diagnostic Imaging
- Diagnostic Radiology Physician
- Chambersburg, PA
- NPI 1346246436
FL
-
- Specialist
- Montgomery, AL
- NPI 1669429296
-
dba Clermont Radiology-Kings Ridge
- Radiology Clinic/Center
- Clermont, FL
- NPI 1003328642
-
- Radiology Clinic/Center
- Clermont, FL
- NPI 1033426622
-
dba Clermont Radiology - Ocala
- Radiology Clinic/Center
- Ocala, FL
- NPI 1235770686
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Mary's Good Samaritan Hospital
- Critical Access Hospital
- Greensboro, GA
- NPI 1346209137
-
- Rural Acute Care Hospital
- Lavonia, GA
- NPI 1518354778
-
dba Baptist Medical Center South
- General Acute Care Hospital
- Montgomery, AL
- NPI 1700977105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1255420592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 NORMANDIE DR",
"address_2": "SUITE 108",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361112732",
"telephone_number": "334-269-6337",
"fax_number": "334-834-0657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MARTIN ARMY COMMUNITY HOSPITAL",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "FT. BENNING",
"state": "GA",
"postal_code": "31905",
"telephone_number": "706-544-3429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADLEY",
"first_name": "JOHNATHAN",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "057813",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "AL",
"license": "MD28654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Benning, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.