Individual provider Active NPI

Johnathan L Hadley, MD

  • Vascular & Interventional Radiology Physician
  • Fort Benning, GA
National Provider Identifier
1255420592
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD28654 Issued in AL
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 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
I20090216000133 AL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3678638285 Reassigns benefits to 5 organizations
I20220712001182 FL Practitioner - Diagnostic Radiology 3678638285 Reassigns benefits to 5 organizations

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
Elite Imaging LLCGroup PAC ID 2466496880, 126 clinicians
Athens Radiology Associates PCGroup PAC ID 2860486107, 34 clinicians
Alabama Imaging PCGroup PAC ID 2365341328, 32 clinicians
Montgomery Radiology Associates PAGroup PAC ID 2961301999, 39 clinicians

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 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
057813GAMDDiagnostic Radiology Physician
MD28654ALMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clermont Radiology LLC CurrentSince Aug 1, 2022 Accepting new patients
Clermont Radiology LLC CurrentSince Aug 1, 2022 Accepting new patients
Clermont Radiology LLC CurrentSince Aug 1, 2022 Accepting new patients
Lebanon Diagnostic Imaging, LLC Diagnostic Radiology CurrentSince Jul 18, 2025 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Jul 5, 2022 Accepting new patients
Elite Imaging LLC Diagnostic Radiology Current Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince Mar 17, 2025 Accepting new patients
Envision Imaging of Acadiana LLC Diagnostic Radiology CurrentSince Jan 3, 2023 Accepting new patients
Rose Radiology Centers, LLC CurrentSince Jul 5, 2022 Accepting new patients
Jeanes Radiology Associates LLC Diagnostic Radiology CurrentSince Jun 13, 2025 Accepting new patients
Selma Radiology Associates P C CurrentSince Aug 24, 2015 Accepting new patients
Alabama Imaging PC CurrentSince Aug 24, 2015 Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince Mar 17, 2025 Accepting new patients
Athens Radiology Associates PC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Elite Imaging, LLC Diagnostic Radiology CurrentSince Jul 5, 2022 Accepting new patients
Orlando Diagnostic Center Inc Diagnostic Radiology CurrentSince Apr 1, 2024 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

  • Direct secure messaging: 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.

View all 20

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.