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JEFFREY A BRADLEY MD
NPI 1639270853
General Practice in Lithia Springs, GA

Active since September 26, 2006PECOS Enrolled
870 CRESTMARK DR STE 203, LITHIA SPRINGS, GA 30122(470) 881-8757 Get Directions Write a Review

NPPES record last updated: December 23, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 23, 2019, Jul 27, 2017, Jul 20, 2017 (3 updates tracked since 2017).

About Jeffrey A Bradley Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY A BRADLEY MD (NPI 1639270853) is an individual general practice provider in Lithia Springs, Georgia, licensed in Georgia (036345) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639270853
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJEFFREY A BRADLEYCredential: MD
Location Address870 CRESTMARK DR STE 203Lithia Springs, GA 30122-2665
Mailing Address145 15th St Ne Apt 1235Atlanta, GA 30309-3587 · (864) 270-7746
Phone(470) 881-8757
Sole ProprietorNo
Enumeration DateSeptember 26, 2006
Last NPPES UpdateDecember 23, 20193 updates tracked since enumeration
✔ NPI 1639270853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in GA · 036345
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 150598 (SC)
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X · License 036345 (GA)
870 CRESTMARK DR STE 203, Lithia Springs, GA 30122
Open in Google Maps ↗

Other Identifiers 1

Other1295769438SC · Group Npi Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey A Bradley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Bradley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

First Step Recovery Center
436 mi
Addiction Medicine
1653 BRICE RD
Reynoldsburg, OH 43068
  • Reassigned Medicare billing, Georgia enrollment
NPI 1467826453 (614) 300-5878

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAPHENE ELIJAH LPN
Counselor (Addiction (Substance Use Disorder))
870 CRESTMARK DR STE 203
LITHIA SPRINGS, GA 30122
Douglas County (844) 300-0102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Bradley's NPI number?

The NPI number for Jeffrey Bradley is 1639270853. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Jeffrey Bradley located?

Jeffrey Bradley practices at 870 Crestmark Dr Ste 203, Lithia Springs, GA 30122. The listed phone number is (470) 881-8757.

What is Jeffrey Bradley's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jeffrey Bradley enrolled in Medicare?

Yes. Jeffrey Bradley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffrey Bradley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Bradley reassigns Medicare benefits to First Step Recovery Center (Reynoldsburg, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Bradley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Bradley was last updated on December 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.