Jonathan David Wade, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

66666 Issued in GA

Practice address

110 S Jefferson St
Nashville, GA 31639

Phone

(229) 638-6726

Fax

(229) 518-4425

NPI assigned

Jul 11, 2009

Last updated

Jun 4, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jonathan.wade@104014667710468.direct.elationemr.com
• Direct secure messaging: jonathan.wade@493838767882244.direct.elationemr.com
• Direct secure messaging: jonathan.wade@782095967715332.direct.elationemr.com

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.

• Orchard Health, LLC

  • Family Medicine Physician
  • Nashville, GA
  • NPI 1205401726
  NPD Authorized official
• Direct Doc, LLC

  • Family Medicine Physician
  • Nashville, GA
  • NPI 1699267831
  Authorized official Same address or phone
• Soliant Health

  • Contractor
  • Tucker, GA
  • NPI 1871710723
  NPD (past)
• Southland-Nashville Emergency Services, LLC.

  • Emergency Medicine Physician
  • Nashville, GA
  • NPI 1639467038
  NPD (past)
• McLeod Regional Medical Center of the Pee Dee, Inc

  dba McLeod Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Florence, SC
  • NPI 1871775841
  NPD (past)
• McLeod Regional Medical Center of the Pee Dee, Inc.

  dba McLeod Family Medicine

  • Family Medicine Physician
  • Florence, SC
  • NPI 1205882461
  NPD (past)

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

{
    "created_epoch": "1247270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1528297538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S JEFFERSON ST",
            "city": "NASHVILLE",
            "state": "GA",
            "postal_code": "316392268",
            "telephone_number": "229-638-6726",
            "fax_number": "229-518-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S JEFFERSON ST",
            "city": "NASHVILLE",
            "state": "GA",
            "postal_code": "31639",
            "telephone_number": "229-638-6726",
            "fax_number": "229-518-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-11",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "1263",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "66666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Studstill, RN
• Tift Regional Health System Inc. (Southwell Medical Nashville Primary Care)
• Total Family Health Care, LLC
• Laura Eugena Tyson, PHARMD
• United Obstetrics & Gynecology (Tifton Women's Center)
• Walgreen Co (Walgreens #18291)
• Stewart Drew Warren, M.D.
• Jarod Weaver
• Jessica Wheeler, LMFT
• Richard E Wheeler, MD

• Family Medicine Physician in Nashville, GA
• Providers in Nashville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.