Organization
GLADNEY FAMILY MED CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHO GLADNEY (OWNER)
(470) 925-6802
Entity
Organization
Contact information
Practice address
3119 SPRING GLEN RD STE 104, JACKSONVILLE, FL 32207-5921
(470) 925-6802
Mailing address
61 MARLOW PL, ATLANTA, GA 30328-1640
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up