TONY MIHIR GHODADRA M.D.
NPI 1346217973
Radiology - Diagnostic Radiology in Gainesville, GA

Active since March 02, 2006PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
200 W ACADEMY ST NW, GAINESVILLE, GA 30501(770) 282-8820 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2024, Apr 27, 2017 (2 updates tracked since 2017).

About Tony Mihir Ghodadra M.d. NPPES

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

TONY MIHIR GHODADRA M.D. (NPI 1346217973) is an individual diagnostic radiology provider in Gainesville, Georgia, licensed in Georgia (97997) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1346217973
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameTONY MIHIR GHODADRACredential: M.D.
Location Address200 W ACADEMY ST NWGainesville, GA 30501-8568
Mailing AddressPo Box 2417Gainesville, GA 30503-2417 · (770) 532-9936
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1999
Enumeration DateMarch 2, 2006
Last NPPES UpdateApril 3, 20242 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
NPI 1346217973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in GA · 97997 Licensed in TN · MD39942
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
200 W ACADEMY ST NW, Gainesville, GA 30501

Secondary Practice Location 1

Location 1620 Skyline DriveJackson, TN 38301-3901 · Phone (731) 541-6174 · Fax (731) 541-8008

Other Identifiers 6

Medicaid3336402TN
Other4114934Bcbs
OtherP00278185Rr Medicare
Medicaid3336403TN
Medicaid3729238TN
Other4114932Bcbs

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

Tony Mihir Ghodadra M.d. 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 ID8224006960
PECOS Enrollment IDI20060112000324
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 60

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
973 services973 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
807 services807 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
534 services534 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
493 services493 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
402 services327 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
134 services133 patients

Hospital Affiliations CMS Care Compare 5

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

West Tennessee Healthcare Milan Hospital

Acute Care Hospitals · Milan, TN
OwnershipGovernment - Local
CMS Certification Number440060
Location4039 Highland StMilan, TN 38358 · Gibson County
Emergency services

Volunteer Community Hospital

Acute Care Hospitals · Martin, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440061
Location161 Mount Pelia RdMartin, TN 38237 · Weakley County
Emergency services Birthing friendly

West Tennessee Healthcare Camden Hospital

Critical Access Hospitals · Camden, TN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number441316
Location175 Hospital DriveCamden, TN 38320 · Benton County
Emergency services

West Tennessee Healthcare Bolivar Hospital

Critical Access Hospitals · Bolivar, TN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number441320
Location650 Nuckolls RoadBolivar, TN 38008 · Hardeman County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.26
Improvement Activities40
Cost51.86

Other Providers at the Same Location NPPES 9

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

Psychologist (Clinical)
200 W ACADEMY ST NW, SUITE A
GAINESVILLE, GA 30501
Psychologist (Clinical)
200 W ACADEMY ST NW, SUITE A
GAINESVILLE, GA 30501
Radiology (Diagnostic Radiology)
200 W ACADEMY ST NW
GAINESVILLE, GA 30501
Nurse Practitioner (Family)
200 W ACADEMY ST NW
GAINESVILLE, GA 30501
Radiology (Diagnostic Radiology)
200 W ACADEMY ST NW
GAINESVILLE, GA 30501
Physician Assistant (Medical)
200 W ACADEMY ST NW
GAINESVILLE, GA 30501
Psychologist (Clinical)
200 W ACADEMY ST NW, SUITE A
GAINESVILLE, GA 30501
Radiology (Diagnostic Radiology)
200 W ACADEMY ST NW
GAINESVILLE, GA 30501

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 Tony Ghodadra's NPI number?

The NPI number for Tony Ghodadra is 1346217973. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Tony Ghodadra located?

Tony Ghodadra practices at 200 W Academy St NW, Gainesville, GA 30501. The listed phone number is (770) 282-8820.

What is Tony Ghodadra's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Tony Ghodadra enrolled in Medicare?

Yes. Tony Ghodadra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Tony Ghodadra affiliated with any hospitals?

According to CMS data, Tony Ghodadra is affiliated with Jackson-Madison County General Hospital, West Tennessee Healthcare Milan Hospital, Volunteer Community Hospital, West Tennessee Healthcare Camden Hospital and West Tennessee Healthcare Bolivar Hospital.

When was this NPI record last updated?

The NPPES record for Tony Ghodadra was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.