Active NPI
Jody Lynn Dolan, APRN, PNP-PC
- Pediatrics Physician
- Thomaston, GA
National Provider Identifier
1851986541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- RN201257
- 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, 2021
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN201257 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Pediatrics Physician
- Atlanta, GA
- NPI 1710003520
-
dba Zoe Pediatric After Hours Care
- Pediatrics Physician
- Columbus, GA
- NPI 1174971303
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
- Dental Professionals of Georgia, P.C. (Thomaston Dental)
- Shantelise Monique Dickey, DNP, CPNP-PC
- DK on the Go Enterprise LLC
- Marion Drennan Dobbs Jr., DDS
- Charles Wayne Dodgen, M.D.
- Edgar Joseph Dollar II, D.O.
- Mark E Dorogy, M.D.
- Benjamin Durham, PA-C
- Dva Healthcare Renal Care Inc (Thomaston Dialysis)
- Elite Natural Wellness
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.