Tony Mihir Ghodadra, MD | |
200 W Academy St Nw, Gainesville, GA 30501-8568 | |
(770) 282-8820 | |
Not Available |
Full Name | Tony Mihir Ghodadra |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 25 Years |
Location | 200 W Academy St Nw, Gainesville, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346217973 | NPI | - | NPPES |
3336402 | Medicaid | TN | |
4114934 | Other | BCBS | |
P00278185 | Other | RR MEDICARE | |
3336403 | Medicaid | TN | |
3729238 | Medicaid | TN | |
4114932 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD39942 (Tennessee) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 97997 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jackson-madison County General Hospital | Jackson, TN | Hospital |
Volunteer Community Hospital | Martin, TN | Hospital |
Milan General Hospital | Milan, TN | Hospital |
Camden General Hospital | Camden, TN | Hospital |
Bolivar General Hospital | Bolivar, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jackson Clinic Pa | 2668376872 | 179 |
Jackson Radiology Associates Pa | 6305893231 | 27 |
Entity Name | Jackson Clinic Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285629386 PECOS PAC ID: 2668376872 Enrollment ID: O20040318000962 |
Entity Name | Jackson Radiology Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699700716 PECOS PAC ID: 6305893231 Enrollment ID: O20050404000399 |
Entity Name | Gainesville Radiology Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922037605 PECOS PAC ID: 9335046382 Enrollment ID: O20230224000900 |
Mailing Address | Practice Location Address |
---|---|
Tony Mihir Ghodadra, MD Po Box 2417, Gainesville, GA 30503-2417 Ph: (770) 532-9936 | Tony Mihir Ghodadra, MD 200 W Academy St Nw, Gainesville, GA 30501-8568 Ph: (770) 282-8820 |
Kimberely J Windham-cope, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Academy Street, Gainesville, GA 30501 Phone: 770-282-8820 | |
Dr. Scott M Stephen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Academy Street, Gainesville, GA 30501 Phone: 770-282-8820 | |
Dr. Ajay Kumar Ravi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Academy Street, Gainesville, GA 30501 Phone: 770-282-8820 | |
Ms. Neha Agrawal, Radiology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 | |
Dr. Lee A Martin Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Academy Street, Gainesville, GA 30501 Phone: 770-282-8820 | |
Dr. Brian P Gay, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 425 Broad St Se, Suite 102, Gainesville, GA 30501 Phone: 770-718-9776 Fax: 770-718-1910 | |
Dr. David Lawrence Kimball, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-539-9391 Fax: 770-533-4701 |