Active NPI
Nicholas Brian Dodson, D.P.M.
- Podiatrist
- Valdosta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- POD001131
- Practice address
- 4370 Kings Way
Suite B
Valdosta, GA 31602-6904 - Phone
- (229) 244-0070
- Fax
- (229) 244-0080
- NPI assigned
- Mar 24, 2010
- Last updated
- May 18, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | POD001131 | GA | Primary |
Addresses
Primary practice location
4370 Kings Way
Suite B
Valdosta, GA 31602-6904
Mailing address
4370 Kings Way
Suite B
Valdosta, GA 31602-6904
Phone (229) 244-0070
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3 Magnolia CT
Moultrie, GA 31768-6764
Phone (229) 891-9028
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 40 |
| Removal of nail tissue | 80 |
| Removal or shaving of skin growth | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD001131 | GA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sterling Podiatry LLC | Podiatrist | Current | Accepting new patients |
| Colquitt Regional Medical Center | Current | Accepting new patients | |
| Colquitt Regional Medical Center | Current | Accepting new patients | |
| Colquitt Regional Pathology, LLC | Current | Accepting new patients | |
| Colquitt Regional Medical Center | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
2 Hospital Park
Moultrie, GA 31768
Phone (229) 391-4130
3 Magnolia Ct
Moultrie, GA 31768
Phone (229) 225-1900
3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Moultrie, GA
- NPI 1912099094
-
dba Sterling Group Specialty Pharmacy
- Specialty Pharmacy
- Moultrie, GA
- NPI 1720820665
-
dba GA South Family Medicine Residency Program
- Family Medicine Physician
- Moultrie, GA
- NPI 1962850396
-
dba Sterling Group Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Moultrie, GA
- NPI 1942865480
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Moultrie, GA
- NPI 1912099094
-
dba Colquitt Regional Geriatric Behavioral Health
- Psychiatric Hospital Unit
- Moultrie, GA
- NPI 1982295036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274140800000",
"number": "1144544842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4370 KINGS WAY",
"address_2": "SUITE B",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316026904",
"telephone_number": "229-244-0070",
"fax_number": "229-244-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4370 KINGS WAY",
"address_2": "SUITE B",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316026904",
"telephone_number": "229-244-0070",
"fax_number": "229-244-0080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODSON",
"first_name": "NICHOLAS",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-24",
"last_updated": "2010-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "GA",
"license": "POD001131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.