Mark G Boddy

Primary specialty

SpecialistTaxonomy code 174400000X

License

032519 Issued in GA

Legal business name

MARK G BODDY

Practice address

840 Pine St
Suite 990
Macon, GA 31201-2100

Phone

(478) 738-0404

Fax

(478) 738-0805

NPI assigned

May 15, 2008

Last updated

Jun 9, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Regina Kirkland

Title

Office Manager

Phone

(478) 738-0404

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Curless Anne Patterson, M.D.

  • Maternal & Fetal Medicine Physician
  • Atlanta, GA
  • NPI 1548324635
  NPD (past)
• Padmashree Chaudhury Woodham, M.D.

  • Maternal & Fetal Medicine Physician
  • Macon, GA
  • NPI 1982882056
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1356518682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 PINE ST",
            "address_2": "SUITE 990",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012100",
            "telephone_number": "478-738-0404",
            "fax_number": "478-738-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 PINE ST",
            "address_2": "SUITE 990",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012100",
            "telephone_number": "478-738-0404",
            "fax_number": "478-738-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK G BODDY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "KIRKLAND",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "478-738-0404"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "032519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "GRP3233",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence E Marable, D.M.D.
• Margaret M Nichols MD LLC
• Maria Cavaliere LLC
• Alexander Marion, MD
• Andrew Jeremy Mariscal
• Mark J. Prigatano, PH.D. (The Attention Disorders Center)
• Mark Lynn, O.D. & Associates, P.C. (Visionworks)
• Nje Seretse Mark, M.D
• Christopher G Markie, DAT, LAT, ATC, CES
• Amanda D Marler, CNM

• Specialist in Macon, GA
• Providers in Macon, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.