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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JONATHAN DOKTER MD
NPI 1114556149
Urology in Newnan, GA

Active since April 02, 2020PECOS Enrolled
775 POPLAR RD STE 160A, NEWNAN, GA 30265(770) 400-4630(770) 254-6069 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 1, 2026, May 27, 2021, Apr 2, 2020 (3 updates tracked since 2020).

About Jonathan Dokter Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN DOKTER MD (NPI 1114556149) is an individual urology provider in Newnan, Georgia, licensed in Georgia (113706) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1114556149
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJONATHAN DOKTERCredential: MD
Location Address775 POPLAR RD STE 160ANewnan, GA 30265-8302
Mailing Address775 Poplar Rd Ste 160a&bNewnan, GA 30265-8300 · (770) 400-4630 · Fax (770) 254-6069
Phone(770) 400-4630
Fax(770) 254-6069
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 2, 2020
Last NPPES UpdateOctober 1, 20263 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1114556149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in GA · 113706✔ Licensed in MI · 4351048154
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
775 POPLAR RD STE 160A, Newnan, GA 30265
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Dokter Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870992514
PECOS Enrollment IDI20260728002722
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Dokter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Piedmont Providers LLC
79 mi
Internal Medicine
220 J L WHITE DR STE 120
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 689 clinicians in this Medicare group
NPI 1548273592 (770) 801-2500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30265 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER STILES WILLIAMSON NP
Nurse Practitioner
775 POPLAR RD STE 160A
NEWNAN, GA 30265
Coweta County (770) 400-4630
MAKALA RAVEN GORE PA
Physician Assistant
775 POPLAR RD STE 160A
NEWNAN, GA 30265
Coweta County (770) 400-4630
JOY LYNN JONES FNP, BSN
Nurse Practitioner (Family)
775 POPLAR RD STE 160A
NEWNAN, GA 30265
Coweta County (770) 400-4630
MR. ZENEBE G WOLDEGEBRIEL NP
Nurse Practitioner
775 POPLAR RD STE 160A
NEWNAN, GA 30265
Coweta County (770) 400-4630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Dokter's NPI number?

The NPI number for Jonathan Dokter is 1114556149. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Jonathan Dokter located?

Jonathan Dokter practices at 775 Poplar Rd Ste 160A, Newnan, GA 30265. The listed phone number is (770) 400-4630.

What is Jonathan Dokter's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jonathan Dokter enrolled in Medicare?

Yes. Jonathan Dokter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonathan Dokter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Dokter reassigns Medicare benefits to Piedmont Providers LLC (Jasper, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Dokter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jonathan Dokter was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.