MEDICARE: JIM R WADE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	22664	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700860913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIM R WADE MD

Provider Business Mailing Address
First Line	:	58 BIG A ROAD
Second Line	:
City	:	TOCCOA
State	:	GA
Zip	:	30577-6017
Country	:	US
Telephone Number	:	706-886-6819
Fax Number	:	706-282-5368

Provider Business Practice Location Address
First Line	:	58 BIG A ROAD
Second Line	:
City	:	TOCCOA
State	:	GA
Zip	:	30577-6017
Country	:	US
Telephone Number	:	706-886-6819
Fax Number	:	706-282-5368

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	06/25/2015

Similar Medicare Providers

1538151253 — SHANNON CHATMAN NP-C
Practice Location Address:

58 BIG A RD
TOCCOA, GA
30577-6017

Practice Phone: 706-886-3148
Practice Fax: 706-886-3843

1174516330 — MARC S COAN MD
Practice Location Address:

58 BIG A ROAD
TOCCOA, GA
30577-6017

Practice Phone: 706-886-6819
Practice Fax: 706-282-5368

1285627372 — JUANITA NORRIS CPNP
Practice Location Address:

58 BIG A ROAD
TOCCOA, GA
30577-6017

Practice Phone: 706-886-8419
Practice Fax: 706-886-4479

1114910510 — BERNARD A RAM MD
Practice Location Address:

58 BIG A ROAD
TOCCOA, GA
30577-6017

Practice Phone: 706-886-3151
Practice Fax: 706-282-7781

1841283231 — BHASKERRAO PATEL MD
Practice Location Address:

58 BIG A ROAD
TOCCOA, GA
30577-6017

Practice Phone: 706-886-9819
Practice Fax: 706-282-5368

1912990326 — PARESH PATEL MD
Practice Location Address:

58 BIG A RD
TOCCOA, GA
30577-6017

Practice Phone: 706-886-8419
Practice Fax: 706-827-5083

Directions to “ JIM R WADE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.