DR. CHARLES DOUGLAS JR. BODINE (M.D.) – Hematology & Oncology Physician, NPI 1740669928

DR. CHARLES DOUGLAS JR. BODINE (M.D.) is a healthcare provider. based in Athens, Georgia. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 88983 (GA). The NPI Number for DR. CHARLES DOUGLAS JR. BODINE (M.D.) is 1740669928

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES DOUGLAS JR. BODINE (M.D.)
NPI
1740669928
Phone
(706) 353-2990
Address
3320 Old Jefferson Rd Bldg 300
Enumeration Date
21 May 2015
Last Update Date
16 July 2024

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7063532990
Graduation Year
2014 (12 years ago)
PAC ID
8224342142
Group Practice PAC ID
0345293866
Professional Enrollment ID
I20210603000003
Address ID
GA306071465AT3320XRDXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:11State licenses:1Digital endpointsOther names

349 HEMATOLOGY/ONCOLOGY in GA

Provider Addresses for DR. CHARLES DOUGLAS JR. BODINE (M.D.)

  • 3320 Old Jefferson Rd Bldg 300

    Athens, GA 306071400

    Phone: (706) 353-2990

    Fax: (706) 353-2992

    Type: Location

  • 110 Mercer Pl

    Commerce, GA 305291552

    Phone: (706) 510-1437

    Fax: (706) 778-6270

    Type: Location

  • 3320 Old Jefferson Rd Bldg 800

    Athens, GA 306071400

    Phone: (706) 353-2990

    Fax: (706) 353-2992

    Type: Location

  • 1460 Resurgence Dr

    Watkinsville, GA 306777320

    Phone: (706) 715-2410

    Fax: (706) 353-2992

    Type: Location

  • 900 S LIMESTONE

    CTW 304

    LEXINGTON, KY 405360001

    Phone: (859) 323-5083

    Type: Mailing

  • 800 ROSE ST

    LEXINGTON, KY 405360001

    Phone: (859) 323-5083

    Type: Location

  • 3320 OLD JEFFERSON RD BLDG 800

    ATHENS, GA 306071400

    Phone: (706) 353-2990

    Fax: (706) 353-2992

    Type: Mailing

  • 3320 OLD JEFFERSON RD BLDG 700

    ATHENS, GA 306071465

    Phone: (706) 353-2990

    Fax: (706) 353-2992

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 219 Open Payments records for all available years, with a total value of $5,767.

Total Amount is formed as General ($5,767) + Research ($0) + Ownership ($0) = $5,767.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($1,715).

Total Amount

$5,767

General + Research + Ownership

Payments

219

Total payment records

General Amount

$5,767

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

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: 2021-06-03

PECOS data refreshed: 2026-05-27

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
I20210603000003IHematology/OncologyGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q0138Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)35,70044$0
J9271Injection, pembrolizumab, 1 mg8,80015$0
J9267Injection, paclitaxel, 1 mg6,53212$0
A9607Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie6,09216$0
J0897Injection, denosumab, 1 mg2,58023$0
View full utilization report →

Insurance plans in this area (ZIP 30607)

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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: 0345293866View full group profile
NameSpecialtyState
Physician AssistantGA
Physician AssistantGA
P A T H O L O G YGA
General SurgeryGA
Physician AssistantGA
Nurse PractitionerGA
Nurse PractitionerGA
H E M A T O L O G Y/ O N C O L O G YGA
-GA
Physician AssistantGA

Reviews

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Frequently asked questions

Is there an official ID for DR. CHARLES DOUGLAS JR. BODINE (M.D.) in U.S. healthcare records?
The official identifier for DR. CHARLES DOUGLAS JR. BODINE (M.D.) is NPI 1740669928.
Would DR. CHARLES DOUGLAS JR. BODINE (M.D.) appear as active to a payer?
You can treat DR. CHARLES DOUGLAS JR. BODINE (M.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. CHARLES DOUGLAS JR. BODINE (M.D.)'s focus?
For DR. CHARLES DOUGLAS JR. BODINE (M.D.), the primary taxonomy reads as Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Is DR. CHARLES DOUGLAS JR. BODINE (M.D.) located near Athens?
DR. CHARLES DOUGLAS JR. BODINE (M.D.) currently maps to Athens, Georgia in this extract.
Can I trust this NPI listing for DR. CHARLES DOUGLAS JR. BODINE (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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