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NPI · 1104022425 · NPPES-sourced

C. Wayne Dodgen, MD, PC

ActiveFamily Medicine
NPI Number
1104022425
Type 2 · Organisation
Taxonomy Code
207Q00000X
Contact
(706) 647-8101
Primary practice line
Last Updated
About 5 years ago (Aug 2020)
Enumerated 2007-06-24
Primary practice addressGA · 30286-3433
107 Jackson Ave, Suite AThomaston, GA 30286-3433
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About this NPIWhat this record shows.

NPI 1104022425 is registered to C. Wayne Dodgen, MD, PC, a healthcare organisation classified as "Family Medicine" and located at 107 Jackson Ave, Suite A in Thomaston, Georgia. The organisation's authorised official is Charles Dodgen. The organisation has been enumerated in the NPI registry since 2007.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2007-06-24
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 11DO948247GA· Issued by CLIA #

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans C. Wayne Dodgen, MD, PC accepts. To confirm in-network status with your specific health plan, contact C. Wayne Dodgen, MD, PC directly at (706) 647-8101.

Frequently asked

Yes. NPI 1104022425 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (706) 647-8101.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. C. Wayne Dodgen, MD, PC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207Q00000X
Last updated2020-08
Enumerated2007-06-24
StatusActive
Partneri
partner offer
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