NPIMap

Individual provider Active NPI

Jeffrey D Dodd, MD

  • Family Medicine Physician
  • Powhatan, VA
National Provider Identifier
1861444176
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101049541 Issued in VA
Practice address
2891 Anderson Hwy
Powhatan, VA 23139-7406
Phone
(804) 897-1259
Fax
(804) 897-6141
NPI assigned
May 16, 2006
Last updated
Feb 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101049541 VA Primary

Addresses

Primary practice location

2891 Anderson Hwy
Powhatan, VA 23139-7406

Mailing address

2891 Anderson Hwy
Powhatan, VA 23139-7406
Phone (804) 897-1259

Other identifiers 16

IdentifierTypeStateIssuer
10522OtherVACIGNA
82504OtherVASOUTHERN HEALTH
540883363OtherVACHAMPUS-TRICARE
540883363OtherVAVIRGINIA HEALTH NETWORK
C04469OtherVAGROUP PTAN
540883363OtherVAFIRST HEALTH/CCN
5633966MedicaidVA
568498OtherVAAETNA
856735OtherVAMAMSI
116037OtherVAANTHEM
10003380OtherVAOPTIMA
C09633OtherVAGROUP PTAN
0100496OtherVAUNTIED HEALTHCARE
540883363OtherVAGREAT WEST HEALTHCARE
540883363OtherVAPHCS
540883363OtherVAPREFERRED CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080312000384 VA Practitioner - Family Practice 5597840793 Reassigns benefits to 1 organization
I20141215001364 DC Practitioner - Family Practice 5597840793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Douglas Avery and Associates LTDGroup PAC ID 3971412818, shared by 5 NPIs, 48 clinicians
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

12725 Stone Village Way
Midlothian, VA 23113-2722
Phone (804) 245-8430

2891 Anderson Hwy
Powhatan, VA 23139-7406
Phone (804) 897-1259

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions37
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101049541VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Family Medicine CurrentSince Apr 30, 2015 Accepting new patients
Jeffrey Dodd MD PC Family Medicine Current Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 30, 2015 Accepting new patients
Bon Secours St. Francis Medical Center LLC Past Accepting new patients
Bon Secours St Francis Medical Center LLC Past Accepting new patients
Nova Physician Wellness Center PLLC Family Medicine Past Accepting new patients
Bon Secours St. Francis Medical Center Inc Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

8644 Sudley Rd
#220
Manassas, VA 20110

2410 Pagehurst Dr
Midlothian, VA 23113
Phone (804) 897-6140

2891 Anderson Hwy
Powhatan, VA 23139
Phone (804) 267-6920

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jeffrey.dodd.2@8042.direct.athenahealth.com

Organizations & group practices 7

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 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1861444176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2891 ANDERSON HWY",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231397406",
            "telephone_number": "804-897-1259",
            "fax_number": "804-897-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2891 ANDERSON HWY",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231397406",
            "telephone_number": "804-897-1259",
            "fax_number": "804-897-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODD",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101049541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "10522",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "82504",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS-TRICARE",
            "identifier": "540883363",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA HEALTH NETWORK",
            "identifier": "540883363",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C04469",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH/CCN",
            "identifier": "540883363",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5633966",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "568498",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "856735",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "116037",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "10003380",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C09633",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNTIED HEALTHCARE",
            "identifier": "0100496",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST HEALTHCARE",
            "identifier": "540883363",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "540883363",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "540883363",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powhatan, VA

Sources for this page

Verify at the official NPI Registry.