BRANDY DODGE (NPI# 1780006031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780006031 |
| Entity Type | Individual |
| Full Name | BRANDY DODGE |
| Credential | ATC |
| Practice Address |
4181 Hospital Dr Ne Ste 204 Covington GA 30014-2541 |
| Practice Telephone | 7707886534 |
| Mailing Telephone | 7707886534 |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
AT002178 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821624107 | Brandy N Dodge | Technician | 3099 Sullivant Ave Ste H, Columbus, OH 43204-1800 | 2020-03-18 |
| Street Address |
4181 HOSPITAL DR NE STE 204 |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891338703 | Kolyse Eliza Wagstaff | Physician Assistant | 4181 Hospital Dr Ne Ste 204, Covington, GA 30014-2541 | 2019-10-23 |
| 1699281683 | Felisha Nichole Quist | Specialist/Technologist | 4181 Hospital Dr Ne Ste 204, Covington, GA 30014-2541 | 2017-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053824615 | Brittany Dale | Physical Medicine & Rehabilitation | 340 Falconer Dr, Covington, LA 70433-8204 | 2017-11-06 |
| 1932423951 | Nicholas Paul Goyeneche | Physical Medicine & Rehabilitation | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2010-03-19 |
| 1598831943 | Anthony Phillip Miller | Physical Medicine & Rehabilitation | 1010 S Polk St, Suite 2, Covington, LA 70433-2474 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872700 | Shaq S Hill-lofton | Physical Medicine & Rehabilitation | 6073 Magnolia Rdg, Stone Mountain, GA 30087-6068 | 2020-05-10 |
| 1861013773 | Amy Prall | Physical Medicine & Rehabilitation | 590 Cobb Ave Nw # 0201, Kennesaw, GA 30144-5563 | 2020-05-01 |
| 1912536145 | Christopher R. Sellars, Do, LLC | Physical Medicine & Rehabilitation | 4989 Peachtree Pkwy Ste 120, Peachtree Corners, GA 30092-2589 | 2020-04-08 |
| 1578194445 | Jakayla Campbell | Physical Medicine & Rehabilitation | 3096 Spring Hill Pkwy Se Apt F, Smyrna, GA 30080-4752 | 2020-01-30 |
| 1568003275 | Derek Charles Gaffey | Physical Medicine & Rehabilitation | 13025 Birmingham Hwy, Milton, GA 30004-7306 | 2019-10-03 |
| 1649830001 | Jennifer Creek Poston | Physical Medicine & Rehabilitation | 105 East Bacon Street, Pembroke, GA 31321 | 2019-06-18 |
| 1184113342 | Jamie Townsend Young | Physical Medicine & Rehabilitation | 1275 Shiloh Rd Nw Ste 2031, Kennesaw, GA 30144-7199 | 2018-05-03 |
| 1043724040 | Chesnee Miller | Physical Medicine & Rehabilitation | 2400 Gillionville Rd, Albany, GA 31707-3023 | 2017-11-29 |
| 1972941839 | Beyond Rehabilitation PC | Physical Medicine & Rehabilitation | 1376 Lamont Dr Sw, Mableton, GA 30126-1182 | 2013-06-12 |
| 1942554936 | Eziamaka Obunadike | Physical Medicine & Rehabilitation | 1968 Hawks Ln Ne, Brookhaven, GA 30329-2283 | 2012-10-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.