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DR. CHARLES GARY LODGE M.D.
NPI 1366521205
Family Medicine in Moultrie, GA

Active since November 02, 2006
6 HOSPITAL PARK, MOULTRIE, GA 31768(229) 985-3320(229) 890-1282 Get Directions Write a Review

NPPES record last updated: September 1, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Charles Gary Lodge M.d. NPPES

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

DR. CHARLES GARY LODGE M.D. (NPI 1366521205) is an individual family medicine provider in Moultrie, Georgia, licensed in Georgia (024019) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1366521205
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CHARLES GARY LODGECredential: M.D.
Location Address6 HOSPITAL PARKMoultrie, GA 31768-6700
Mailing AddressPo Box 3037Moultrie, GA 31776-3037 · (229) 985-3320 · Fax (229) 890-1282
Phone(229) 985-3320
Fax(229) 890-1282
Sole ProprietorNo
Enumeration DateNovember 2, 2006
Last NPPES UpdateSeptember 1, 2010
✔ NPI 1366521205 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 · 024019
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.
6 HOSPITAL PARK, Moultrie, GA 31768
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Other Identifiers 3

Medicare PIN08BDHTCGA
Medicare UPIND30082GA
Medicaid00296942BGA

Other Providers at the Same Location NPPES 11

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

DR. HOLLY M VAN DE VOORT MD
Pediatrics
6 HOSPITAL PARK
MOULTRIE, GA 31768
Colquitt County (229) 985-3320
COLQUITT REGIONAL INFECTIOUS DISEASE LLC
Internal Medicine (Infectious Disease)
6 HOSPITAL PARK
MOULTRIE, GA 31768
Colquitt County (229) 891-9009
JEONG SOK SEO MD
Internal Medicine
6 HOSPITAL PARK
MOULTRIE, GA 31768
Colquitt County (229) 891-9009
STEPHEN YARBROUGH DO
Family Medicine
6 HOSPITAL PARK
MOULTRIE, GA 31768
Colquitt County (229) 985-3320
DR. DAPHNE BERNADETTE MLACHILA MD
Pediatrics
6 HOSPITAL PARK
MOULTRIE, GA 31768
Colquitt County (229) 985-3320
MATTHEW GOULD PA
Physician Assistant
6 HOSPITAL PARK
MOULTRIE, GA 31768
Colquitt County (229) 985-3320
ETHAN MCBRAYER DO
Family Medicine
6 HOSPITAL PARK
MOULTRIE, GA 31768
Colquitt County (229) 985-3320
BILLY RAY PRICE II MD
Family Medicine
6 HOSPITAL PARK
MOULTRIE, GA 31768
Colquitt County (229) 985-3320

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 Charles Lodge's NPI number?

The NPI number for Charles Lodge is 1366521205. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Charles Lodge located?

Charles Lodge practices at 6 Hospital Park, Moultrie, GA 31768. The listed phone number is (229) 985-3320.

What is Charles Lodge's specialty?

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

When was this NPI record last updated?

The NPPES record for Charles Lodge was last updated on September 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.