JODIAN KEDOYA DOUGLAS
NPI 1417603598
Nurse Practitioner in Atlanta, GA

Active since February 27, 2022PECOS EnrolledAccepts Medicare Assignment
80 JESSE HILL JR DR SE, ATLANTA, GA 30303(404) 616-1000 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jodian Kedoya Douglas NPPES

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

JODIAN KEDOYA DOUGLAS (NPI 1417603598) is an individual nurse practitioner in Atlanta, Georgia, licensed in Georgia (RN236711) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1417603598
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJODIAN KEDOYA DOUGLAS
Location Address80 JESSE HILL JR DR SEAtlanta, GA 30303-3031
Mailing Address5621 Washakie PtEllenwood, GA 30294-6691 · (678) 328-9884
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 27, 2022
Last NPPES UpdateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
NPI 1417603598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in GA · RN236711
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN236711 (GA)
80 JESSE HILL JR DR SE, Atlanta, GA 30303

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

Jodian Kedoya Douglas 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 ID1951749464
PECOS Enrollment IDI20240403001815
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 2

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services27 patients
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.
19 services16 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 30303 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.

Other Providers at the Same Location NPPES 20

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

Obstetrics & Gynecology (Gynecologic Oncology)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Internal Medicine
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Surgery (Surgical Critical Care)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Pharmacist
80 JESSE HILL JR DR SE, GRADY HEALTH SYSTEM PHARMACY
ATLANTA, GA 30303
Pharmacist
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Pharmacist (Pharmacotherapy)
80 JESSE HILL JR DR SE, DEPARTMENT OF PHARMACY AND DRUG INFORMATION, BG002
ATLANTA, GA 30303
Anesthesiologist Assistant
80 JESSE HILL JR DR SE, ANESTHESIA DEPT.
ATLANTA, GA 30303
Pharmacist
80 JESSE HILL JR DR SE
ATLANTA, GA 30303

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 Jodian Douglas's NPI number?

The NPI number for Jodian Douglas is 1417603598. It was assigned to this individual provider in the NPPES registry on February 27, 2022.

Where is Jodian Douglas located?

Jodian Douglas practices at 80 Jesse Hill Jr Dr SE, Atlanta, GA 30303. The listed phone number is (404) 616-1000.

What is Jodian Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jodian Douglas enrolled in Medicare?

Yes. Jodian Douglas 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 Jodian Douglas affiliated with any hospitals?

According to CMS data, Jodian Douglas is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jodian Douglas was last updated on February 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.