Summer Lorraine Odom, FNP-C is a
Nurse Practitioner - Family based in De Soto, Georgia. Summer Lorraine Odom is licensed to practice in Georgia (license number RN204070) and her current practice location is
140 Gray Moss Rd, De Soto, Georgia. She can be reached at her office (for appointments etc.) via phone at
(229) 869-5483.
NPI number for Summer Lorraine Odom is 1437605300 and her current mailing address is 2701 Meredyth Dr, Albany, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437605300.
Provider's Profile
| Full Name | Summer Lorraine Odom |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 140 Gray Moss Rd, De Soto, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1437605300
- Provider Enumeration Date: 08/30/2016
- Last Update Date: 09/08/2016
Medical Identifiers
Medical identifiers for Summer Lorraine Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437605300 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | RN204070 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Summer Lorraine Odom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Summer Lorraine Odom, FNP-C
2701 Meredyth Dr,
Albany, GA 31707-2267
Ph: (229) 883-7010 | Summer Lorraine Odom, FNP-C
140 Gray Moss Rd,
De Soto, GA 31743-2218
Ph: (229) 869-5483 |
Reviews and Comments