MS. GWENDOLYN ALEXANDRIA BODKIN MD
NPI 1285163717
Family Medicine in Atlanta, GA

Q: What is Gwendolyn Bodkin's NPI number?

The NPI number for Gwendolyn Bodkin is 1285163717. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Q: What is Gwendolyn Bodkin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Gwendolyn Bodkin was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since June 08, 2017PECOS EnrolledAccepts Medicare Assignment

1863 MEMORIAL DR SE, ATLANTA, GA 30317(404) 616-9304(404) 616-9333 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2026, Feb 11, 2021, Sep 25, 2020 and 1 more (4 updates tracked since 2017).

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About Ms. Gwendolyn Alexandria Bodkin Md NPPES

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

MS. GWENDOLYN ALEXANDRIA BODKIN MD (NPI 1285163717) is an individual family medicine provider in Atlanta, Georgia, licensed in Georgia (97673) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Saint Louis University School Of Medicine (2017).

NPPES Registry Identity

NPI1285163717

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMS. GWENDOLYN ALEXANDRIA BODKINCredential: MD

Location Address1863 MEMORIAL DR SEAtlanta, GA 30317-2103

Mailing Address1863 Memorial Dr SeAtlanta, GA 30317-2103 · (404) 616-9304 · Fax (404) 616-9333

Phone(404) 616-9304

Fax(404) 616-9333

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 2017

Enumeration DateJune 8, 2017

Last NPPES UpdateMay 6, 20264 updates tracked since enumeration

NPPES CertifiedMay 6, 2026

✔ NPI 1285163717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 97673

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1863 MEMORIAL DR SE, Atlanta, GA 30317

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Gwendolyn Alexandria Bodkin Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103195359

PECOS Enrollment IDI20231203000153

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

87 services65 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

42 services34 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

23 services19 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110079

Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30317 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745

DME-Other DME · category DE000N

1 supplier11 claims11 services$60.55 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 10

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

DR. KAREN S DUNCAN MD

Pediatrics

1863 MEMORIAL DR SE, KIRKWOOD HEALTH CENTER
ATLANTA, GA 30317

Dekalb County (404) 616-9342

MICHAEL ZANE GONZALEZ NP

Nurse Practitioner (Family)