NPIMap

Individual provider Active NPI

Kirkland Dodson, MD

  • Internal Medicine Physician
  • Washington, GA
National Provider Identifier
1689745960
Registry record updated May 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
040656 Issued in GA
Practice address
119 Gordon St
Washington, GA 30673-1601
Phone
(706) 678-4785
NPI assigned
Nov 10, 2006
Last updated
May 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 040656 GA Primary

Addresses

Primary practice location

119 Gordon St
Washington, GA 30673-1601

Mailing address

PO Box 26040
Macon, GA 31221-6040
Phone (478) 475-1299

Other identifiers 2

IdentifierTypeStateIssuer
00758832CMedicaidGA
110243778OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040329001333 GA Practitioner - Internal Medicine 4587556956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Emory University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Emergency Medical Services Consolidated, LLCGroup PAC ID 4183871320, 48 clinicians

Practice addresses (Care Compare)

119 Gordon St
Washington, GA 30673-1601
Phone (706) 678-4785

610 Sparta Rd
Sandersville, GA 31082-1860
Phone (478) 240-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
040656GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Emergency Medical Services Consolidated, LLC Internal Medicine CurrentSince Aug 22, 2023 Accepting new patients
Washington Internal Medicine LLC Internal Medicine CurrentSince Apr 1, 2002 Accepting new patients
Pine Leaf Investment Inc. Past Accepting new patients
Interim Healthcare Hospice, LLC PastSince May 25, 2023 Accepting new patients

Locations

145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950

610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000

119 Gordon St
Washington, GA 30673
Phone (706) 678-4785

120 Gordon St
Washington, GA 30673
Phone (706) 678-1177

22 W Robert Toombs Ave
Washington, GA 30673
Phone (706) 678-4300

22 W Robert Toombs Ave
Ste R
Washington, GA 30673
Phone (706) 678-4785

Interoperability endpoints

  • Direct secure messaging: ms_kdodso16@landmarkhealth-direct.org
  • Direct secure messaging: wmhkdodso@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Quiet Oaks Health Care CenterCrawford, GA, CCN 115396 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 1, 2011
Nov 2, 2011
Bristol Hospice - East GeorgiaWatkinsville, GA, CCN 111782 Hospice Contracted Managing Employee Sep 24, 2021
Providence CareMonroe, GA, CCN 851569 Hospice W-2 Managing Employee Feb 20, 2026
Interim Healthcare Hospice of AtlantaAtlanta, GA, CCN 851595 Hospice Contracted Managing Employee May 25, 2023

Owned or controlled facilities with NPI records 4

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

Organizations & group practices 4

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

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746316800000",
    "number": "1689745960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26040",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312216040",
            "telephone_number": "478-475-1299",
            "fax_number": "478-405-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 GORDON ST",
            "city": "WASHINGTON",
            "state": "GA",
            "postal_code": "306731601",
            "telephone_number": "706-678-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODSON",
        "first_name": "KIRKLAND",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2025-05-04",
        "certification_date": "2025-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "040656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00758832C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110243778",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, GA

Sources for this page

Verify at the official NPI Registry.