NPI age
18 years
Enumerated 2008-05-15
● Active Type 2 · Organization
Mark G Boddy
Mark G Boddy is 1 of 1881 specialist organizations in Georgia.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kirkland
Office Manager
Last NPPES update
2008-06-09
Source: monthly bulk 2026-05
How this organization compares
Across 1881 active specialist providers in Georgia.
NPI age
18 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-05Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
840 Pine St, Suite 990
MacOn, GA 312012100
Mailing address
840 Pine St, Suite 990
MacOn, GA 312012100
Authorized official
Regina Kirkland
Office Manager
📞 4787380404
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Mohammed Ajjan Internal Medicine NPI 1518913003
- Kwame Amponsah Neurological Surgery NPI 1578731121
- Younes Bakri, MD Obstetrics & Gynecology NPI 1770558611
- Sara Behrens, MD Orthopaedic Surgery NPI 1730382334
- Lisa Carter, RD,LD,CDCES Dietitian, Registered NPI 1982475265
- Daniel Chan, MD Orthopaedic Surgery NPI 1699894873
- Sheryl Dacy, CRNA Nurse Anesthetist, Certified Registered NPI 1376625772
- Gary Eddy, MD Obstetrics & Gynecology NPI 1073589909
- Konstantinos Fountas, M.D. Neurological Surgery NPI 1801243894
- Charles Gomez Orthopaedic Surgery NPI 1336582626
- Alan Gordon, M.D. Obstetrics & Gynecology NPI 1932191582
- Woodrow Gray, MD PHD Obstetrics & Gynecology NPI 1275582272
- Jonathan Haynes, PA-C Physician Assistant NPI 1518389170
- Nandan Hichkad Physician Assistant NPI 1740236314
- Leon Hyer, PSYCHOLOGIST Psychologist NPI 1215026067
- Kim Johnston, M.D. Neurological Surgery NPI 1417994096
- Jessica Knight, NP Nurse Practitioner NPI 1487000501
- Jessica Menard, PA-C Physician Assistant NPI 1235176819
- Robert Parel, M.D. Surgery NPI 1629149265
- Joe Robinson Neurological Surgery NPI 1225075815
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | GRP3233 | GROUP |
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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