Active NPI
Annie Kristen Andrews Bodi, PA C
- Physician Assistant
- Irwinton, GA
National Provider Identifier
1548219983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 004997
- Practice address
- 144 East Main Street
Irwinton, GA 31042-0225 - Phone
- (478) 864-3448
- Fax
- (478) 864-1288
- NPI assigned
- May 10, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 004997 | GA | Primary |
Addresses
Primary practice location
144 East Main Street
Irwinton, GA 31042-0225
Mailing address
PO Box 225
Irwinton, GA 31042-0225
Phone (478) 864-3448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004997 | Other | GA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004997 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care Systems, Inc | Past | Accepting new patients | |
| Community Health Care Systems, Inc | Past | Accepting new patients |
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.
-
- Federally Qualified Health Center (FQHC)
- Gordon, GA
- NPI 1063683332
-
- Federally Qualified Health Center (FQHC)
- Sandersville, GA
- NPI 1184515694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1548219983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 225",
"city": "IRWINTON",
"state": "GA",
"postal_code": "310420225",
"telephone_number": "478-864-3448",
"fax_number": "478-864-1288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 EAST MAIN STREET",
"city": "IRWINTON",
"state": "GA",
"postal_code": "310420225",
"telephone_number": "478-864-3448",
"fax_number": "478-864-1288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS BODI",
"first_name": "ANNIE",
"middle_name": "KRISTEN",
"name_prefix": "Mrs.",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "004997",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "004997",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irwinton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.