DR. JONATHAN NOEL DODD PSY.D
NPI 1447501069
Clinical Neuropsychologist in Marietta, GA

Active since September 21, 2012PECOS Enrolled
55 WHITCHER ST NE STE 420, MARIETTA, GA 30060(770) 514-6760 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jonathan Noel Dodd Psy.d NPPES

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

DR. JONATHAN NOEL DODD PSY.D (NPI 1447501069) is an individual clinical neuropsychologist in Marietta, Georgia, licensed in Missouri (2012032669) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1447501069
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. JONATHAN NOEL DODDCredential: PSY.D
Location Address55 WHITCHER ST NE STE 420Marietta, GA 30060
Mailing Address805 Sandy Plains Road, Medical Staff ServicesMarietta, GA 30066-6340
Sole ProprietorYes
Enumeration DateSeptember 21, 2012
Last NPPES UpdateOctober 31, 2019
✔ NPI 1447501069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in MO · 2012032669
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
55 WHITCHER ST NE STE 420, Marietta, GA 30060

Secondary Practice Location 1

Location 11 Childrens PlSaint Louis, MO 63110-1002 · Phone (314) 454-6069 · Fax (314) 454-4013

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Noel Dodd Psy.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jonathan Dodd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urology
55 WHITCHER ST NE, SUITE 250
Marietta, GA 30060
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 12

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

Psychologist (Clinical)
55 WHITCHER ST NE STE 420
MARIETTA, GA 30060
Psychologist (Clinical)
55 WHITCHER ST NE STE 420
MARIETTA, GA 30060
Psychologist (Health Service)
55 WHITCHER ST NE STE 420
MARIETTA, GA 30060
Psychologist (Clinical)
55 WHITCHER ST NE STE 420
MARIETTA, GA 30060
Psychologist (Clinical)
55 WHITCHER ST NE STE 420
MARIETTA, GA 30060
Psychologist (Counseling)
55 WHITCHER ST NE STE 420
MARIETTA, GA 30060
Psychologist (Clinical)
55 WHITCHER ST NE STE 420
MARIETTA, GA 30060
Counselor (Professional)
55 WHITCHER ST NE STE 420
MARIETTA, GA 30060

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 Jonathan Dodd's NPI number?

The NPI number for Jonathan Dodd is 1447501069. It was assigned to this individual provider in the NPPES registry on September 21, 2012.

Where is Jonathan Dodd located?

Jonathan Dodd practices at 55 Whitcher St NE Ste 420, Marietta, GA 30060. The listed phone number is (770) 514-6760.

What is Jonathan Dodd's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Jonathan Dodd enrolled in Medicare?

Yes. Jonathan Dodd is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonathan Dodd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Dodd reassigns Medicare benefits to Wellstar Medical Group, LLC (Marietta, GA). The 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 Jonathan Dodd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Dodd accept?

Health plans from Alliant Health Plans, Inc. and Oscar Health list Jonathan Dodd 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.

When was this NPI record last updated?

The NPPES record for Jonathan Dodd was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.