| Christina Anna Nicole Odom, FNP | |
|
105 Carnegie Pl Ste 106, Fayetteville, GA 30214-3980 | |
| (770) 716-7999 | |
| (770) 716-8444 |
| Full Name | Christina Anna Nicole Odom |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 105 Carnegie Pl Ste 106, Fayetteville, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043940141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN275604 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Medical Group, P.c. | 3577559673 | 118 |
| Entity Name | Southeast Medical Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235296054 PECOS PAC ID: 3577559673 Enrollment ID: O20040423000347 |
| Mailing Address | Practice Location Address |
|---|---|
| Christina Anna Nicole Odom, FNP 7580 Deerridge Way, Fairburn, GA 30213-6556 Ph: (678) 763-4919 | Christina Anna Nicole Odom, FNP 105 Carnegie Pl Ste 106, Fayetteville, GA 30214-3980 Ph: (770) 716-7999 |
Ms. Philicia Duncan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 735 Glynn Street South, Fayetteville, GA 30214 Phone: 770-461-4126 | |
Brittney Shay Pasko, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214 Phone: 770-719-0051 Fax: 770-716-0087 | |
Angela Miller, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-6799 Fax: 770-719-6059 | |
Eleasa Milano, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Heatherden Ave, Fayetteville, GA 30214 Phone: 808-446-4609 | |
Erin Dee Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1336 Highway 54 W Bldg 500, Fayetteville, GA 30214 Phone: 770-461-1238 | |
Mrs. Ashley Miller, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1240 Highway 54 W Ste 602, Fayetteville, GA 30214 Phone: 678-971-4167 Fax: 833-989-2501 | |
Omolola Otubaga, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Beckett Ln, Ste. 304, Fayetteville, GA 30214 Phone: 770-703-4448 Fax: 770-703-4038 |