Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jodian Kedoya Douglas

Individual provider Registered Nurse · NPI 1417603598

Jodian Kedoya Douglas is a Nurse Practitioner in Atlanta, Georgia. Qualified in 2023, 3 years ago. Practices with Grady Memorial Hospital Corporation, a 363-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone: (404) 616-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN236711 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN236711 (GA)

Record details

NPI number1417603598
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 27, 2022
Last updated in NPPESFebruary 19, 2024
Certification dateFebruary 19, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Grady Memorial Hospital Corporation — 363 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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