Patrice D Boddie, M.D.

Individual provider Active NPI Internal Medicine Physician · Milledgeville, GA

NPI 1376530774 · NPPES record last updated Oct 13, 2010

Key facts

NPI
1376530774
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
027966 (GA)
Practice address
240 N Wayne St
Milledgeville, GA 31061-3438
Phone
(478) 452-6999
Fax
(478) 452-7222
NPI assigned
Sep 30, 2005
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Medicare Care Compare profile

Specialty
Internal Medicine
Also: Sleep Medicine
Education
Meharry Medical College School of Medicine, 1985
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Medical Office Force (58 clinicians)

Practice addresses (Care Compare)

2005 Prince Ave
Athens, GA 30606-6032
Phone (706) 208-9700

240 N Wayne St
Milledgeville, GA 31061-3438
Phone (478) 452-6999

Hospital & facility affiliations

  • Enhabit Home Health Home health agency · Macon, GA · CCN 117152
  • Navicent Health Baldwin Hospital · Milledgeville, GA · CCN 110150
  • Coliseum Medical Centers, LLC, Dba Hospital · Macon, GA · CCN 110164
  • Atrium Health Navicent the Medical Center Hospital · Macon, GA · CCN 110107

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Atrium Health Navicent Baldwin
Milledgeville, GA · CCN 110150
Hospital Corporate Director Sep 1, 2020
Atrium Health Navicent Baldwin Skilled Nursing Unit
Milledgeville, GA · CCN 115649
Skilled nursing facility Managing Control - Governing Body
Trustee of the SNF
Sep 1, 2020
Sep 1, 2020

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20110920000838 GA Practitioner - Internal Medicine
Practitioner - Sleep Medicine
3971774118 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Patrice D Boddie Internal Medicine Current
since Oct 10, 1985
Accepting new patients
Medical Office Force Internal Medicine Current
since Apr 4, 2025
Accepting new patients

Locations

2005 Prince Ave
Athens, GA 30606
Phone (706) 296-8632

240 N Wayne St
Milledgeville, GA 31061
Phone (478) 452-6999

1001 N Clark St
Milledgeville, GA 31061
Phone (478) 452-6999

Interoperability endpoints

  • Direct secure messaging: patrice.boddie@oconeeregional.gadirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 027966 GA Yes

Addresses

Primary practice location

240 N Wayne St
Milledgeville, GA 31061-3438

Mailing address

PO Box 1219
Milledgeville, GA 31059-1219
Phone (478) 452-6999

Other identifiers

IdentifierTypeStateIssuer
00316852BMedicaidGA
00316852AMedicaidGA
581759458OtherGATAX PAYER ID
52238029OtherGABLUE CROSS/BLUE SHIELD

Other providers in Milledgeville, GA

All providers in Milledgeville, GA · Internal Medicine Physician in Georgia

Sources for this page

Verify at the official NPI Registry.