DR. CHARLES WAYNE DODGEN M.D. NPI 1104846625

NPI Information

  • NPI: 1104846625
  • Provider Name: DR. CHARLES WAYNE DODGEN, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 107 JACKSON AVE
    SUITE A
    THOMASTON, GA
    ZIP 30286
  • Phone: (706) 647-8101

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NPI Details

DR. Charles Wayne Dodgen, M.D. is a family medicine in Thomaston, GA with 52 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Charles Wayne Dodgen, M.D. NPI is 1104846625. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:1974

The provider's business location address is:

107 JACKSON AVE
SUITE A
THOMASTON, GA
ZIP 30286-433
Phone: (706) 647-8101
Fax: (706) 647-8543

The NPI 1104846625 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)

The enumeration date for this NPI number is 7/20/2006 and was last updated on 3/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine17100GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1257754994BMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
2E01104MEDICARE UPINGEORGIA
3000116355BMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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