Individual provider Active NPI

Andrew Lee Dodgen, MD

  • Pediatric Cardiology Physician
  • Columbus, GA
National Provider Identifier
1447549944
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
82666 Issued in GA
Practice address
705 17TH St Ste 406
Columbus, GA 31901-3513
Phone
(404) 256-2593
Fax
(706) 324-6281
NPI assigned
Apr 5, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 35131514 OH
Pediatric Cardiology Physician 2080P0202X 35131514 OH
Pediatric Cardiology Physician 2080P0202X 82666 GA Primary

Addresses

Primary practice location

705 17TH St Ste 406
Columbus, GA 31901-3513

Mailing address

2970 Brandywine Rd Ste 125
Atlanta, GA 30341-5521
Phone (404) 256-2593

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sibley@choa.gadirect.com Health Information Exchange (HIE) Children's Healthcare of Atlanta

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190603001701 GA Practitioner - Pediatric Medicine 0143599423 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Mercer University School of Medicine, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Children'S Healthcare of Atlanta Cardiology IncGroup PAC ID 6901888395, 31 clinicians

Practice addresses (Care Compare)

705 17TH St
Suite 406
Columbus, GA 31901-3513
Phone (404) 256-2593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35131514OHMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John D Archbold Memorial Hospital Inc CurrentSince Sep 1, 2023 Accepting new patients
Grady General Hospital CurrentSince Sep 1, 2023 Accepting new patients
St. Francis Physician Practices LLC CurrentSince Jan 16, 2024 Accepting new patients
St. Francis Physician Practices LLC CurrentSince Jan 16, 2024 Accepting new patients
Childrens Healthcare of Atlanta Cardiology Inc Pediatric Cardiology CurrentSince May 1, 2019 Accepting new patients
St. Francis Physician Practices LLC Current Accepting new patients
Brooks County Hospital CurrentSince Sep 1, 2023 Accepting new patients
Hospital Authority of Mitchell County CurrentSince Sep 1, 2023 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

2970 Brandywine Rd
Ste 125
Atlanta, GA 30341
Phone (713) 790-9401

60 Executive Park South NE
Atlanta, GA 30329

2835 Brandywine Rd
Ste 400
Atlanta, GA 30341

2835 Brandywine Rd
Ste 300
Atlanta, GA 30341
Phone (770) 488-9202

1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060

90 E Stephens St
Camilla, GA 31730
Phone (229) 200-4950

705 17th St
Ste 406
Columbus, GA 31901
Phone (706) 323-8332

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

903 N Court St
Quitman, GA 31643
Phone (229) 263-4531

920 Cairo Rd
Thomasville, GA 31792
Phone (229) 228-8800

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/66097e3b-7cef-4b96-acca-38bfaae85903/

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1447549944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 BRANDYWINE RD STE 125",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415521",
            "telephone_number": "404-256-2593",
            "fax_number": "770-488-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 17TH ST STE 406",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013513",
            "telephone_number": "404-256-2593",
            "fax_number": "706-324-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGEN",
        "first_name": "ANDREW",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35131514",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "OH",
            "license": "35131514",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "GA",
            "license": "82666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sibley@choa.gadirect.com",
            "affiliation": "Y",
            "endpointDescription": "Sibley",
            "affiliationName": "Children's Healthcare of Atlanta",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PHI",
            "address_1": "705 17th St Ste 406",
            "city": "Columbus",
            "state": "GA",
            "country_code": "US",
            "postal_code": "319013513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.