Janine M Dodds, MD
Individual provider Active NPI Diagnostic Radiology Physician · Statesboro, GA
NPI 1619986478 · NPPES record last updated Jun 2, 2011
Key facts
- NPI
- 1619986478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 50254 (GA)
- Practice address
- 1499 Fair Road
Statesboro, GA 30458 - Phone
- (912) 486-1533
- Fax
- (912) 871-2396
- NPI assigned
- Aug 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- East Georgia Radiology LLC
Practice addresses (Care Compare)
1499 Fair Rd
Statesboro, GA 30458-1683
Phone (912) 486-1339
Hospital & facility affiliations
- East Georgia Regional Medical Center
- Emanuel Medical Center
- Candler Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040614001208 | SC | Practitioner - Diagnostic Radiology | 3971587403 | Reassigns benefits to 1 organization |
| I20090210000017 | GA | Practitioner - Diagnostic Radiology | 3971587403 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50254 | GA | MD | Orthopaedic Surgery of the Spine Physician |
| ME26836 | SC | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates of South Carolina LLC | Diagnostic Radiology | Current |
Accepting new patients |
| West Virginia Radiology Associates PC | Diagnostic Radiology | Current |
Accepting new patients |
| East Georgia Radiology LLC | Body Imaging | Current |
Accepting new patients |
| Pelican II, LLC | Body Imaging | Past | Accepting new patients |
| Charleston Radiologists PA | Diagnostic Radiology | Past | Accepting new patients |
| Open MRI of Georgia, LLC | Diagnostic Radiology | Past |
Accepting new patients |
| Village Chiropractic and Wellness P.L.L.C. | Past | Accepting new patients |
Locations
1067 Peachtree St
Louisville, GA 30434
Phone (478) 625-7000
1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000
7 Acee Dr
Natrona Hts, PA 15065
1 Marcus Dr
Ste 100
Greenville, SC 29615
Phone (864) 751-2051
1050 Grove Rd
Greenville, SC 29605
Phone (864) 242-5020
35 International Dr
Greenville, SC 29615
Phone (864) 242-5020
1 Cannon Dr
Greenville, SC 29605
Phone (336) 970-5318
131 Commonwealth Dr
Ste 220
Greenville, SC 29615
Phone (864) 213-9927
2 Innovation Dr
Greenville, SC 29607
Phone (864) 400-3668
1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000
104 Innovation Dr
Greenville, SC 29607
Phone (864) 255-1000
125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800
5 S Lewis Plz
Greenville, SC 29605
Phone (864) 242-4122
309 W Butler Rd
Mauldin, SC 29662
Phone (864) 295-2131
3970 Grandview Dr
Ste 1400
Simpsonville, SC 29680
Phone (864) 234-9900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | ME26836 | SC | |
| Nuclear Radiology Physician | 2085N0904X | ME26836 | SC | |
| Pediatric Radiology Physician | 2085P0229X | ME26836 | SC | |
| Diagnostic Radiology Physician | 2085R0202X | ME26836 | SC | |
| Vascular & Interventional Radiology Physician | 2085R0204X | ME26836 | SC | |
| Diagnostic Ultrasound Physician | 2085U0001X | ME26836 | SC | |
| Diagnostic Radiology Physician | 2085R0202X | 50254 | GA | Yes |
| Body Imaging Physician | 2085B0100X | 50254 | GA |
Addresses
Primary practice location
1499 Fair Road
Statesboro, GA 30458
Mailing address
P.O. Box 3578
Augusta, GA 30914-3578
Phone (706) 737-4575
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 268365 | Medicaid | SC | |
| 8683 | Other | SC | MEDICARE GROUP |
| 919252977A | Medicaid | GA | |
| 1709 | Other | SC | MEDICARE GROUP |
Other names
- Janine Mele
NPI Registry JSON
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306972800000",
"number": "1619986478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 3578",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309143578",
"telephone_number": "706-737-4575",
"fax_number": "706-731-5289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1499 FAIR ROAD",
"city": "STATESBORO",
"state": "GA",
"postal_code": "30458",
"telephone_number": "912-486-1533",
"fax_number": "912-871-2396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODDS",
"first_name": "JANINE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2011-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "SC",
"license": "ME26836",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "SC",
"license": "ME26836",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "SC",
"license": "ME26836",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "ME26836",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "SC",
"license": "ME26836",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "SC",
"license": "ME26836",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "50254",
"primary": true
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "GA",
"license": "50254",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "268365",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "8683",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "919252977A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "1709",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANINE",
"last_name": "MELE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Statesboro, GA
- Donald Devine
- Susmita Dey
- Kristen Noel Dickens
- Nicolle Maria Digerolamo-Thaller
- Colin A. Dodds
- Dogwood Pediatric Dentistry of Statesboro, LLC
- Gayla Donaldson
- Patrick Dorvilus
- Ashley Cromley Douglas
- DPS Health and Wellness
All providers in Statesboro, GA · Diagnostic Radiology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.