JOHN W ODOM (NPI# 1508866773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508866773 |
| Entity Type | Individual |
| Full Name | JOHN W ODOM |
| Credential | MD |
| Practice Address |
594 S Columbia Ave Ste 100 Rincon GA 31326-0919 |
| Mailing Address |
Po Box 919 594 S Columbia Drive, Ste 100 Rincon GA 31326-0919 |
| Practice Telephone | 9128264057 |
| Practice Fax Number | 9128262853 |
| Mailing Telephone | 9128264057 |
| Mailing Fax Number | 9128262853 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2010-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 033661 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RR MEDICARE | CN8505 | 01 |
| GA | 0437236D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215953732 | John Odom | Emergency Medicine | 10500 Wayzata Blvd, Minnetonka, MN 55305-1511 | 2006-07-15 |
| 1497118004 | John David Odom | Student in an Organized Health Care Education/Training Program | 6701 Fannin St Ste 1560, Houston, TX 77030-2614 | 2016-03-31 |
| 1003889387 | John N Odom | Family Medicine | 3032 E Highway 76, Mullins, SC 29574-7396 | 2006-02-08 |
| 1073514766 | John A Odom Jr. | Specialist | 10103 Ridgegate Pkwy, Lone Tree, CO 80124-5520 | 2005-08-03 |
| Street Address |
594 S COLUMBIA AVE STE 100 |
| City | RINCON |
| State | GA |
| Zip Code | 31326-0919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861492191 | Mark E Blankenship | Surgery | 594 S Columbia Ave, Ste 100, Rincon, GA 31326-0919 | 2005-07-28 |
| 1033481551 | Metro Surgical PC | Specialist | 594 S Columbia Ave, Suite 100, Rincon, GA 31326-9094 | 2012-01-30 |
| 1265702757 | Screven County Family Health Center, LLC | Surgery | 594 S Columbia Ave, # 100, Rincon, GA 31326-9094 | 2011-12-30 |
| 1518128628 | Daniel Franklin Reames | Optometrist | 594 S Columbia Ave, Suite 200, Rincon, GA 31326-9094 | 2008-06-20 |
| 1770700619 | Joey Lawrence Christmas | Surgery | 594 S Columbia Ave, Suite 100, Rincon, GA 31326 | 2007-04-20 |
| 1437294592 | Myeyedr Optometry of Georgia, LLC | Optometrist | 594 S Columbia Ave, Suite 200, Rincon, GA 31326-9094 | 2007-02-20 |
| 1902823024 | Metro Surgical, PC | Surgery | 594 S Columbia Ave, Suite 100, Rincon, GA 31326-9092 | 2006-07-16 |
| 1043212731 | Anthony Matthew Foley Sr. | Surgery | 594 S Columbia Ave, Rincon, GA 31326-9094 | 2005-08-11 |
| 1578563730 | Edward F Stringer Iv | Surgery | 594 S Columbia Ave, Suite 100, Rincon, GA 31326-0919 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437657160 | Vitality Counseling, Inc | Counselor | 135 Goshen Road Ext Ste 203, Rincon, GA 31326 | 2018-01-29 |
| 1174045322 | Katelyn Dodsworth Sundin | Dentist | 5871 Ga-21 S, Rincon, GA 31326 | 2017-07-10 |
| 1861943284 | Covenant Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 112 Goshen Commercial Park Dr., Rincon, GA 31326 | 2016-10-20 |
| 1013465681 | Aaron D. Webb | Nurse Practitioner | 423 S Columbia Avenue, Rincon, GA 31326 | 2016-09-13 |
| 1659726255 | Reagan Reese Powell | Counselor | 135 Goshen Rd Ext, Suite 203a, Rincon, GA 31326 | 2016-05-02 |
| 1982065652 | Shronda Bowman | Specialist | 1214n Columbia Ave, Unit B, Rincon, GA 31326 | 2016-03-09 |
| 1306202890 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 461 S Columbia Ave, Rincon, GA 31326 | 2016-01-13 |
| 1053628255 | Jennifer Erin Creech | Dentist | 429 S Columbia Ave, Rincon, GA 31326 | 2010-09-09 |
| 1548596737 | Rincon Medical Center | Clinic/Center | 119 Chimney Road, Rincon, GA 31326 | 2009-10-23 |
| 1770732968 | Hospital Authority of Effingham County | Clinic/Center | 110 Goshen Road, Rincon, GA 31326 | 2008-09-12 |
| Find all providers in zip 31326 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861492191 | Mark E Blankenship | Surgery | 594 S Columbia Ave, Ste 100, Rincon, GA 31326-0919 | 2005-07-28 |
| 1265702757 | Screven County Family Health Center, LLC | Surgery | 594 S Columbia Ave, # 100, Rincon, GA 31326-9094 | 2011-12-30 |
| 1770700619 | Joey Lawrence Christmas | Surgery | 594 S Columbia Ave, Suite 100, Rincon, GA 31326 | 2007-04-20 |
| 1902823024 | Metro Surgical, PC | Surgery | 594 S Columbia Ave, Suite 100, Rincon, GA 31326-9092 | 2006-07-16 |
| 1043212731 | Anthony Matthew Foley Sr. | Surgery | 594 S Columbia Ave, Rincon, GA 31326-9094 | 2005-08-11 |
| 1578563730 | Edward F Stringer Iv | Surgery | 594 S Columbia Ave, Suite 100, Rincon, GA 31326-0919 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824857 | Oasis Surgical Assistants LLC | Surgery | 170 Blackberry Run Dr, Dallas, GA 30132-1174 | 2020-08-31 |
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1568087260 | Anthony George Campbell | Surgery | 1475 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-09 |
| 1821613431 | America Stephanie Revere | Surgery | Augusta University Medical Center 1120 15th St, Augusta, GA 30912-0001 | 2020-06-09 |
| 1124653456 | Oasis Surgical Associates LLC | Surgery | 800 Kennesaw Ave Nw Ste 130, Marietta, GA 30060-1052 | 2020-03-06 |
| 1063054237 | Stacey M Lowe | Surgery | 146 Wesleyan Way, Macon, GA 31210-4400 | 2019-10-09 |
| 1356982730 | Quinones & Sanchez LLC | Surgery | 1215 Eagles Landing Pkwy Ste 105, Stockbridge, GA 30281-5084 | 2019-10-07 |
| 1891342135 | Chakita Miesha Allen | Surgery | 24 Halyard Dr, Port Wentworth, GA 31407-9755 | 2019-08-21 |
| 1720631088 | 5am P.C. | Surgery | 475 Hansell St Se, Cairo, GA 39828-3071 | 2019-07-16 |
| 1033779152 | Kathryne Holmes | Surgery | 1120 15th St Rm Bi4076, Augusta, GA 30912-0004 | 2019-06-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.