JAD MEDICAL GROUP NPI 1548591399

NPI Information

  • NPI: 1548591399
  • Provider Name: JAD MEDICAL GROUP
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 510 SWANSON RD
    TYRONE, GA
    ZIP 30290
  • Phone: (770) 964-5230

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NPI Details

JAD MEDICAL GROUP is a family medicine in Tyrone, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JAD MEDICAL GROUP NPI is 1548591399. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

510 SWANSON RD
TYRONE, GA
ZIP 30290-900
Phone: (770) 964-5230
Fax: (770) 964-5260

The provider's authorized official is Joann Donaldson .
The authorized official title is Ceo/ Family Practice Physician and has the following contact phone number (404) 704-7519.

The enumeration date for this NPI number is 1/19/2010 and was last updated on 1/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine032720GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D45611MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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