Ian Bewlay Dodson (NPI# 1639597610, PAC ID# 4789952565) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1639597610 |
| PAC ID by PECOS | 4789952565 |
| Professional Enrollment ID | I20170620001787 |
| Full Name | Ian Bewlay Dodson |
| Organization Legal Name | SOUTH FULTON EMERGENCY PHYSICIANS, LLC |
| Address |
303 Pkwy Dr Ne Atlanta GA 30312-1212 |
| Phone Number | 4042654000 |
| Gender | M |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5294708715 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110115 | WELLSTAR ATLANTA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 | 4042654000 | SOUTH FULTON EMERGENCY PHYSICIANS, LLC |
| Organization Legal Name | SOUTH FULTON EMERGENCY PHYSICIANS, LLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Wong Iii | Emergency Medicine | South Fulton Emergency Physicians, LLC | 1170 Cleveland Ave, East Point, GA 30344-3615 |
| Geri M Williams | Emergency Medicine | South Fulton Emergency Physicians, LLC | 1170 Cleveland Ave, East Point, GA 30344-3615 |
| Anthony Fontana | Emergency Medicine | South Fulton Emergency Physicians, LLC | 1170 Cleveland Ave, East Point, GA 30344-3615 |
| Sharon B Williams | Nurse Practitioner | South Fulton Emergency Physicians, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Eric Matthew Hamm | Emergency Medicine | South Fulton Emergency Physicians, LLC | 1170 Cleveland Ave, East Point, GA 30344-3615 |
| Dion D David | Emergency Medicine | South Fulton Emergency Physicians, LLC | 1170 Cleveland Ave, East Point, GA 30344-3615 |
| Hesham F Abukhdeir | Emergency Medicine | South Fulton Emergency Physicians, LLC | 1170 Cleveland Ave, East Point, GA 30344-3615 |
| Anna M Kirsch | Emergency Medicine | South Fulton Emergency Physicians, LLC | 1170 Cleveland Ave, East Point, GA 30344-3615 |
| Mboh E Elango | Emergency Medicine | South Fulton Emergency Physicians, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Natasha M Oliver | Nurse Practitioner | South Fulton Emergency Physicians, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Street Address |
303 PKWY DR NE |
| City | ATLANTA |
| State | GA |
| Zip | 30312-1212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dipa Ketan Patel | Nurse Practitioner | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Miriam Parker | Internal Medicine | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Jessica L Olson | Nurse Practitioner | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Thomas R Lall | Internal Medicine | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Nomi L Traub | Internal Medicine | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Katherine Lanning | Neurology | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Sharon B Williams | Nurse Practitioner | South Fulton Emergency Physicians, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Andy Quoc Truong | Anesthesiology | Mak Anesthesia Holdings, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Hesham S Sherif | Hospitalist | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Michael Vincent M Mendoza | Neurology | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick S Malone | Podiatry | 285 Blvd Ne, Suite L 3, Atlanta, GA 30312 | |
| Althea L Turk | Ophthalmology | 315 Boulevard, Suite 242, Atlanta, GA 30312-1202 | |
| Sonya D Marks | Obstetrics/gynecology | Obhg Georgia, P.C. | 303 Pkwy Nedr, Atlanta, GA 30312-1212 |
| Kibrewessen Tefera | Hospitalist | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Steven P Bondell | Pathology | Atlanta Pathology Pa | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Vijaykumar G Patel | General Surgery | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Rifquat Giwa | Hospitalist | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Richard M Majeste | Pathology | Atlanta Pathology Pa | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Seth M Eisenberg | Anesthesiology | Mak Anesthesia Holdings, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Kari Suzanne Hatfield | Nurse Practitioner | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Find all physicians in zip 30312 | |||
| City | ATLANTA |
| Zip Code | 30312 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | ATLANTA + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Ian Bewlay Dodson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.