Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Charles Wayne Dodgen, MD

Individual provider Family Medicine Physician · NPI 1104846625

Dr. Charles Wayne Dodgen, MD is a Family Practice in Thomaston, Georgia. Graduated from Medical College of Georgia School of Medicine in 1974, 52 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
52
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

107 Jackson Ave Ste A
Thomaston, GA 30286-3433
Phone: (706) 647-8101
Fax: (706) 647-8543
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 17100 (GA)

Record details

NPI number1104846625
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 20, 2006
Last updated in NPPESMarch 30, 2016
Mailing address107 Jackson Ave, Suite A, Thomaston, GA 30286-3433

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1974 (52 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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