Gregory E Dodson, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA693 Issued in GA

Practice address

454 Smith Ave
Thomasville, GA 31792-5535

Phone

(229) 227-5510

Fax

(229) 227-5527

NPI assigned

Jul 5, 2006

Last updated

Jul 30, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gregory.dodson@gadirect.net
• Direct secure messaging: gregory.dodson@pcsg.eclinicaldirectplus.com
• Direct secure messaging: gregory.dodson@pcswga.gadirect.net

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.

• John D Archbold Memorial Hospital Inc

  dba Archbold Memorial

  • General Acute Care Hospital
  • Thomasville, GA
  • NPI 1194779702
  Medicare reassignment NPD
• John D. Archbold Memorial Hospital, Inc.

  dba John D. Archbold Memorial Hospital - vRadTN

  • Diagnostic Radiology Physician
  • Thomasville, GA
  • NPI 1841644390
  NPD
• Primary Care of Southwest Georgia, Inc

  dba Primary Care of Southwest Georgia-TCMS

  • Federally Qualified Health Center (FQHC)
  • Thomasville, GA
  • NPI 1407375686
  NPD
• Primary Care of Southwest Georgia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Blakely, GA
  • NPI 1780607754
  NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248912000000",
    "number": "1699706911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1479",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317991479",
            "telephone_number": "229-227-5510",
            "fax_number": "229-227-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 SMITH AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925535",
            "telephone_number": "229-227-5510",
            "fax_number": "229-227-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODSON",
        "first_name": "GREGORY",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2009-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "PA693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000147B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291323200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Direct Patient Care of Thomasville LLC
• Tinika Ross Dismuke, CCC-SLP
• Pranav Diwan, M.D.
• Kellie Anissa Dix
• Doctors Anesthesia
• Camille Domingo, MD
• Eric Laroy Donald
• Robert Michael Donovan, P.A.
• William L Dougherty, PAC
• Valarie Michelle Dozier, D.D.S.

• Physician Assistant in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.