DR. CHARLES GARY LODGE (M.D.) – Family Medicine Physician, NPI 1366521205

Family Medicine Physician

DR. CHARLES GARY LODGE (M.D.) is a healthcare provider. based in Moultrie, Georgia. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 024019 (GA). The NPI Number for DR. CHARLES GARY LODGE (M.D.) is 1366521205

Main info

Male

45 Years Of Experience

Accepts Medicare Assignment

Name

DR. CHARLES GARY LODGE (M.D.)

NPI

1366521205

Phone

(229) 985-3320

Address

6 HOSPITAL PARK

Enumeration Date

2 November 2006

Last Update Date

1 September 2010

Doctor Profile

Medical School Name

MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE

Secondary Phone

2298919131

Graduation Year

1981 (45 years ago)

PAC ID

3072702299

Group Practice PAC ID

6204821796

Professional Enrollment ID

I20110104000647

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. CHARLES GARY LODGE (M.D.)

6 HOSPITAL PARK
MOULTRIE, GA 317686700
Phone: (229) 985-3320
Fax: (229) 890-1282
Type: Location
PO BOX 3037
MOULTRIE, GA 317763037
Phone: (229) 985-3320
Fax: (229) 890-1282
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 31768)

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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: 6204821796View full group profile

Name	Specialty	State
WOODWIN MICHAEL WEEKS (DO)	Family Practice	GA
JOSEPH B BEAVERS (MD)	Family Practice	GA
SHELBY JONES (MD)	Internal Medicine	GA
WILLIAM JAMES III HUFFMAN (MD)	Internal Medicine	GA
DR. JERMAINE MARQUIS ROBINSON (DO)	Family Practice	GA
MELISSA CARDWELL (DO)	Family Practice	GA
JESSICA BRUMFIELD MITCHUM (DO)	Family Practice	GA
THOMAS L ESTES (M.D.,F.A.C.S.)	General Surgery	GA
CLIFTON BLAYNE THOMAS (MD)	Family Practice	GA
MATTHEW GOULD (PA)	Physician Assistant	GA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. CHARLES GARY LODGE (M.D.)?

NPI 1366521205 is assigned to DR. CHARLES GARY LODGE (M.D.) under the national enumeration system.

Is DR. CHARLES GARY LODGE (M.D.)'s NPI currently valid?

The extract we use shows DR. CHARLES GARY LODGE (M.D.) as active.

What field does DR. CHARLES GARY LODGE (M.D.) work in?

You can think of DR. CHARLES GARY LODGE (M.D.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.

What location metadata exists for DR. CHARLES GARY LODGE (M.D.)?

The page summarizes Moultrie, Georgia for DR. CHARLES GARY LODGE (M.D.); expand the address list for detail.

What if Moultrie, Georgia seems incomplete?

Street-level detail can be omitted — open the full address list for this NPI.