JOHN STEPHEN DODD (NP) – Acute Care Nurse Practitioner, NPI 1003104670

JOHN STEPHEN DODD (NP) is a healthcare provider. based in Valdosta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN117801 (GA). The NPI Number for JOHN STEPHEN DODD (NP) is 1003104670

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
JOHN STEPHEN DODD (NP)
NPI
1003104670
Phone
(229) 259-4340
Address
2501 N PATTERSON ST
Enumeration Date
18 July 2011
Last Update Date
18 July 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
0749450229
Group Practice PAC ID
3476553033
Professional Enrollment ID
I20110822000094
Address ID
GA317943600TI907XXEXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

9,744 NURSE PRACTITIONER in GA

Provider Addresses for JOHN STEPHEN DODD (NP)

  • 2501 N PATTERSON ST

    VALDOSTA, GA 316021735

    Phone: (229) 259-4340

    Fax: (259) 259-4341

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 71 Open Payments records for all available years, with a total value of $1,149.

Total Amount is formed as General ($1,149) + Research ($0) + Ownership ($0) = $1,149.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: PFIZER INC. ($282).

Total Amount

$1,149

General + Research + Ownership

Payments

71

Total payment records

General Amount

$1,149

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-08-22

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110822000094INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31602)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476553033View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)GA

Reviews

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Frequently asked questions

How is JOHN STEPHEN DODD (NP) identified in CMS data?
CMS-hosted NPPES data lists JOHN STEPHEN DODD (NP) with NPI 1003104670.
Does the file indicate JOHN STEPHEN DODD (NP) is practicing under active NPI?
Directory data currently reports JOHN STEPHEN DODD (NP) as active.
What is JOHN STEPHEN DODD (NP) best known for clinically?
Directory data describes JOHN STEPHEN DODD (NP) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does JOHN STEPHEN DODD (NP) serve?
JOHN STEPHEN DODD (NP)'s listing highlights Valdosta, Georgia; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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