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

Q: 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.

Q: What is Tony Ghodadra's specialty?

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

Q: 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.

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: October 18, 2026.

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

On this page

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

Phone(770) 282-8820

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

Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Tony Ghodadra reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gainesville Radiology Group, PC

Same address

Diagnostic Radiology

200 W ACADEMY STREET
Gainesville, GA 30501

Reassigned Medicare billing, Tennessee enrollment
3 clinicians in this Medicare group

NPI 1922037605 (770) 282-8820

Jackson Madison County General Hospital

298 mi

Diagnostic Radiology

620 SKYLINE DR
Jackson, TN 38301

Reassigned Medicare billing, Tennessee enrollment
22 clinicians in this Medicare group

NPI 1891687208 (731) 541-5000

Jackson Radiology Associates PA

300 mi

Diagnostic Radiology

31 SANDSTONE CIR
Jackson, TN 38305

Reassigned Medicare billing, Tennessee enrollment
35 clinicians in this Medicare group

NPI 1699700716 (731) 240-1747

Jackson Clinic PA

301 mi

Internal Medicine

2863 HIGHWAY 45 BYP
Jackson, TN 38305

Reassigned Medicare billing, Tennessee enrollment
183 clinicians in this Medicare group

NPI 1285629386 (731) 664-1375

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

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

534 services534 patients

Screening 3d breast mammography 77063

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

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

133 services133 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

106 services97 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

106 services101 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

99 services95 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

98 services98 patients

Diagnostic mammography of 1 breast 77065

94 services88 patients

X-ray of chest, 2 views 71046

93 services91 patients

Limited ultrasound scan of 1 breast 76642

83 services81 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

65 services60 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

65 services65 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

64 services63 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

64 services64 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

53 services49 patients

Mri scan of brain without contrast 70551

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

51 services51 patients

Diagnostic mammography of both breasts 77066

41 services40 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

39 services39 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

38 services38 patients

Ct scan of leg without contrast 73700

A CT scan of the leg is a non-invasive imaging test that uses X-rays to capture detailed images of your leg's bones, muscles, and blood vessels. It doesn't use contrast dye and doesn't cause any pain. It helps in diagnosing injuries or diseases.

34 services31 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

32 services32 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

31 services31 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

30 services30 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

30 services30 patients

X-ray of hip, 2-3 views 73502

27 services24 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

23 services23 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

22 services22 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

22 services20 patients

X-ray of lower and sacral spine, 2-3 views 72100

21 services21 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

21 services21 patients

X-ray of chest, 1 view 71045

20 services20 patients

Mri scan of brain without contrast 70551

19 services19 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

19 services17 patients

X-ray of abdomen, 1 view 74018

19 services19 patients

Ct scan head or brain without contrast 70450

18 services18 patients

Mri scan of brain before and after contrast 70553

An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.

18 services18 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

18 services17 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

17 services17 patients

3d radiographic procedure 76376

A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.

17 services17 patients

Mri scan of both breasts 77049

An MRI scan of both breasts is a non-invasive procedure using magnetic fields and radio waves to create detailed images of your chest area. This aids in detecting any abnormalities, ensuring your health and well-being.

17 services17 patients

Biopsy of breast and placement of locating device using ultrasound, first growth 19083

A breast biopsy with locating device placement involves taking a small sample from an unusual growth, using ultrasound for precise targeting. This sample is studied for any abnormal cells. A locating device is also placed to mark the area for future reference.

16 services16 patients

X-ray of upper spine, 2-3 views 72040

16 services16 patients

X-ray of knee, 1-2 views 73560

16 services16 patients

Mri scan of leg without contrast 73718

An MRI scan of the leg without contrast is a non-invasive imaging procedure. It uses a magnetic field and radio waves to create detailed images of the structures in your leg, such as bones, muscles, and blood vessels. No contrast dye is used.

16 services16 patients

Mri scan of abdomen before and after contrast 74183

An MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.

16 services16 patients

Mri scan of leg before and after contrast 73720

An MRI scan of the leg involves using a magnetic field and radio waves to create detailed images of the structures within your leg. Initially, images are taken without a contrast agent. Then, a contrast agent is injected into your body to enhance the images, highlighting certain areas for closer examination.

15 services14 patients

Mri scan of leg joint without contrast 73721

15 services15 patients

Review by radiologist of ct guidance for needle placement 77012

This process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.

15 services15 patients

Ct scan of arm without contrast 73200

A CT scan of the arm without contrast is a non-invasive imaging test. It uses X-ray technology to capture detailed images of your arm's structures. It doesn't involve any contrasting dye, hence, minimal preparation is required. It helps in diagnosing injuries or conditions affecting the arm.

14 services14 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

14 services14 patients

Ct scan of chest without contrast 71250

13 services13 patients

Mri scan of lower spinal canal without contrast 72148

13 services13 patients

Mri scan of arm joint without contrast 73221

13 services13 patients

Mri scan of upper spinal canal without contrast 72141

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

12 services12 patients

Ct scan of abdomen and pelvis with contrast 74177

12 services12 patients

Aspiration of fluid from chest cavity using imaging guidance 32555

This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.

11 services11 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

Quality

97.26

Improvement Activities

Cost

51.86

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.

DR. DAVID S BAILEY ED.D., ABPP

Psychologist (Clinical)

200 W ACADEMY ST NW, SUITE A
GAINESVILLE, GA 30501

Hall County (770) 535-1284

DR. PATRICIA A MCCOY PH.D.

Psychologist (Clinical)

200 W ACADEMY ST NW, SUITE A
GAINESVILLE, GA 30501

Hall County (770) 535-1284

DR. HONG NGOC TRAN MD

Radiology (Diagnostic Radiology)

200 W ACADEMY ST NW
GAINESVILLE, GA 30501

Hall County (770) 282-8820

CHARLOTTE BOBBITT FNP-C

Nurse Practitioner (Family)

200 W ACADEMY ST NW
GAINESVILLE, GA 30501

Hall County (770) 282-8820

GAURI R KHORJEKAR MD

Radiology (Diagnostic Radiology)

200 W ACADEMY ST NW
GAINESVILLE, GA 30501

Hall County (770) 282-8820

MR. JOHN BRIAN DUTEAU PA

Physician Assistant (Medical)

200 W ACADEMY ST NW
GAINESVILLE, GA 30501

Hall County (770) 282-8820

DR. JANICE R HUGHES PHD

Psychologist (Clinical)

200 W ACADEMY ST NW, SUITE A
GAINESVILLE, GA 30501

Hall County (770) 535-1284

KYLE RIVES MD

Radiology (Diagnostic Radiology)

200 W ACADEMY ST NW
GAINESVILLE, GA 30501

Hall County (770) 282-8820

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.

Which organizations bill Medicare for Tony Ghodadra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tony Ghodadra reassigns Medicare benefits to 4 organizations: Gainesville Radiology Group, PC (Gainesville, GA), Jackson Madison County General Hospital (Jackson, TN), Jackson Radiology Associates PA (Jackson, TN) and Jackson Clinic PA (Jackson, TN). Each 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 Tony Ghodadra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tony Ghodadra accept?

Health plans from Cigna Healthcare list Tony Ghodadra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.