Mrs Angela Marie Odom, FNP-C | |
5621 Hwy 21 S # Na, Rincon, GA 31326-9416 | |
(912) 441-1588 | |
(912) 295-6033 |
Full Name | Mrs Angela Marie Odom |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 14 Years |
Location | 5621 Hwy 21 S # Na, Rincon, 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 |
---|---|---|---|
1740567643 | NPI | - | NPPES |
137997901C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN149476 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Josephs Candler Urgent Care Centers Llc | 5092058016 | 38 |
St Josephs Candler Urgent Care Centers Llc | 5092058016 | 38 |
Entity Name | Tattnall Hospital Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992072722 PECOS PAC ID: 6204907124 Enrollment ID: O20120618000599 |
Entity Name | St Josephs Candler Urgent Care Centers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922580133 PECOS PAC ID: 5092058016 Enrollment ID: O20190520001421 |
Mailing Address | Practice Location Address |
---|---|
Mrs Angela Marie Odom, FNP-C 5621 Hwy 21 S, Rincon, GA 31326-9416 Ph: (912) 295-5860 | Mrs Angela Marie Odom, FNP-C 5621 Hwy 21 S # Na, Rincon, GA 31326-9416 Ph: (912) 441-1588 |
Aaron D. Webb, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 423 S Columbia Avenue, Rincon, GA 31326 Phone: 912-826-8860 Fax: 912-826-2813 | |
Christopher James Spitale, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Allatoona Ln, Rincon, GA 31326 Phone: 912-596-8874 | |
Madeleine Louise Rowles, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1214 N Columbia Ave Ste D, Rincon, GA 31326 Phone: 912-826-2132 | |
Anna Lee Banister, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Towne Park Dr, Rincon, GA 31326 Phone: 912-826-0052 Fax: 912-826-4726 | |
Hayley Moore, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1112 Towne Park Drive East, Rincon, GA 31326 Phone: 912-303-0311 | |
Lateasha Berry, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 1766, Rincon, GA 31326 Phone: 912-663-4539 | |
Mrs. Brittany James Ford, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 131 Silverwood Ct Ste 100, Rincon, GA 31326 Phone: 912-826-3927 |