Individual provider Active NPI

Jody Lynn Dolan, APRN, PNP-PC

  • Pediatrics Physician
  • Thomaston, GA
National Provider Identifier
1851986541
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
RN201257 Issued in GA
Practice address
210 Hannahs Mill Rd
Thomaston, GA 30286-2801
Phone
(706) 938-0990
Fax
(706) 647-3861
NPI assigned
Mar 4, 2021
Last updated
Mar 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X RN201257 GA Primary

Addresses

Primary practice location

210 Hannahs Mill Rd
Thomaston, GA 30286-2801

Mailing address

210 Hannahs Mill Rd
Thomaston, GA 30286-2801
Phone (706) 938-0990

Other practice location 1

231 Highway 41 N
Barnesville, GA 30204-3650
Phone (678) 359-1700

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN201257GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zoe Pediatric After Hours Care, Inc Pediatrics Past Accepting new patients
Piedmont Pediatrics, LLC Pediatrics 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1851986541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 HANNAHS MILL RD",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302862801",
            "telephone_number": "706-938-0990",
            "fax_number": "706-647-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HANNAHS MILL RD",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302862801",
            "telephone_number": "706-938-0990",
            "fax_number": "706-647-3861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 Highway 41 N",
            "address_purpose": "LOCATION",
            "city": "Barnesville",
            "state": "GA",
            "postal_code": "302043650",
            "country_code": "US",
            "telephone_number": "678-359-1700",
            "fax_number": "706-647-0349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "JODY",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "APRN, PNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "RN201257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomaston, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.