NPI age
20 years
Enumerated 2006-03-02
● Active
Type 1 · Individual
Tony Mihir Ghodadra, M.D.
Ghodadra is 1 of 51 radiology providers in Gainesville and 1 of 1280 in Georgia.
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
GA, TN
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-04-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1280 active radiology providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
State licenses
2 states
Top 78% — 21% of peers are multi-state
Subspecialties
0
38% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-03Enumerated in NPPES
2006
2026
Where they practice
Practice location
200 W Academy St Nw
Gainesville, GA 305018568
Mailing address
Po Box 2417
Gainesville, GA 305032417
Additional practice locations
1 secondary location on file with NPPES.
Location 2
620 Skyline Drive
Jackson, TN 383013901
Specialties
-
Radiology PrimaryA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TN) | 3336402 | |
| 01 | 4114934 | BCBS |
| 01 | P00278185 | RR MEDICARE |
| 05 (TN) | 3336403 | |
| 05 (TN) | 3729238 | |
| 01 | 4114932 | BCBS |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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